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Abusive head trauma

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https://www.readbyqxmd.com/read/27885942/enlarged-subarachnoid-spaces-and-intracranial-hemorrhage-in-children-with-accidental-head-trauma
#1
Amanda K Fingarson, Maura E Ryan, Suzanne G McLone, Corey Bregman, Emalee G Flaherty
OBJECTIVE Benign external hydrocephalus (BEH) is an enlargement of the subarachnoid spaces (SASs) that can be seen in young children. It is controversial whether children with BEH are predisposed to developing subdural hemorrhage (SDH) with or without trauma. This issue is clinically relevant as a finding of unexplained SDH raises concerns about child abuse and often prompts child protection and law enforcement investigations. METHODS This retrospective study included children (1-24 months of age) who underwent head CT scanning after an accidental fall of less than 6 feet...
November 25, 2016: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/27864928/classification-of-porcine-cranial-fracture-patterns-using-a-fracture-printing-interface
#2
Feng Wei, Serhat Selçuk Bucak, Jennifer M Vollner, Todd W Fenton, Anil K Jain, Roger C Haut
Distinguishing between accidental and abusive head trauma in children can be difficult, as there is a lack of baseline data for pediatric cranial fracture patterns. A porcine head model has recently been developed and utilized in a series of studies to investigate the effects of impact energy level, surface type, and constraint condition on cranial fracture patterns. In the current study, an automated pattern recognition method, or a fracture printing interface (FPI), was developed to classify cranial fracture patterns that were associated with different impact scenarios documented in previous experiments...
November 16, 2016: Journal of Forensic Sciences
https://www.readbyqxmd.com/read/27862642/external-validation-of-the-pecarn-head-trauma-prediction-rules-in-japan
#3
Kentaro Ide, Satoko Uematsu, Kenichi Tetsuhara, Satoshi Yoshimura, Takahiro Kato, Tohru Kobayashi
OBJECTIVES: The Pediatric Emergency Care Applied Research Network (PECARN) head trauma prediction rules are used to assist computed tomography (CT) decision-making for children with minor head trauma. Although the PECARN rules have been validated in North America and Europe, they have not yet been validated in Asia. In Japan, there are no clinical decision rules for children with minor head trauma. The rate of head CT for children with minor head trauma in Japan is high since CT is widely accessible across the country...
November 12, 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/27851172/1536-abusive-head-trauma-and-mortality-an-analysis-from-an-international-comparative-effectiveness-study
#4
Nikki Miller Ferguson, Patrick Kochanek, Michael Bell, Stephen Wisniewski, Ajit Sarnaik, Darryl Miles, Nadeem Shafi, Edward Truemper
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27832341/non-accidental-trauma-the-role-of-radiology
#5
Cory M Pfeifer, Matthew R Hammer, Kate L Mangona, Timothy N Booth
Non-accidental trauma is a significant source of morbidity and mortality in the pediatric population. Given the vulnerable state of the child, the radiologist can often provide valuable diagnostic information in the setting of suspected abuse. This review focuses on common findings of abusive trauma and serves as a guide to aid in clinical decision-making for providers of emergency medicine and pediatrics. Amid this discussion is an assessment of modern controversies regarding reported mimicking pathologies, recapitulation of the current state of evidence with respect to radiologic findings of abuse, and examination of the contribution that spine imaging may add to the diagnosis of possible abusive head trauma in the acutely injured child...
November 10, 2016: Emergency Radiology
https://www.readbyqxmd.com/read/27821497/pediatric-abusive-head-trauma-prevention-initiatives-a-literature-review
#6
Nahara Rodrigues Laterza Lopes, Lúcia Cavalcanti de Albuquerque Williams
Abusive head trauma (AHT) is a serious form of child maltreatment that needs to be prevented. The aim of this study was to summarize the main AHT prevention strategies described in literature, aiming to identify evidence of their efficiency, as well as strengths and limitations. International databases were reviewed from 2005 to 2015 using the key words Shaken Baby Syndrome or abusive head trauma or nonaccidental head trauma or abusive head injury or nonaccidental head injury and prevention A total of 1,215 articles were found and 34 complete articles were selected for this study...
November 6, 2016: Trauma, Violence & Abuse
https://www.readbyqxmd.com/read/27783389/persistent-retinal-iron-in-abusive-head-trauma
#7
Babette Bais, Wouter A Karst, Bela Kubat, Robert M Verdijk
Retinal hemosiderin deposition is a histologic indicator of sustained hemorrhage but cannot be used to precisely estimate the elapsed time since an episode of trauma. A 5-month-old male infant was admitted to hospital after acute deterioration. Examination revealed encephalopathy, subdural hematomas, and retinal hemorrhages consistent with abusive head trauma (AHT). At the age of 3, he was readmitted to hospital with spontaneous osteopenic fracture of the right femur. The patient deteriorated and died after unsuccessful resuscitation...
November 2016: Journal of Forensic Sciences
https://www.readbyqxmd.com/read/27766587/brain-injury-in-women-experiencing-intimate-partner-violence-neural-mechanistic-evidence-of-an-invisible-trauma
#8
Eve Valera, Aaron Kucyi
Traumatic brain injury (TBI) in women experiencing intimate-partner violence (IPV) is common, and IPV afflicts 30 % of women worldwide. However, the neurobiology and related sequelae of these TBIs have never been systematically examined. Consequently, TBI treatments are typically absent and IPV interventions are inadequate. There has been a call for a comprehensive assessment of IPV-related TBIs and their relationship to aspects of women's cognitive and neural functioning. In response, we examined brain-network organization associated with TBI and its cognitive effects using clinical interviews and neuropsychological measures as well as structural and functional Magnetic Resonance Imaging (fMRI) in women experiencing IPV-related TBI...
October 20, 2016: Brain Imaging and Behavior
https://www.readbyqxmd.com/read/27744559/performance-of-computed-tomography-of-the-head-to-evaluate-for-skull-fractures-in-infants-with-suspected-non-accidental-trauma
#9
Paige A Culotta, James E Crowe, Quynh-Anh Tran, Jeremy Y Jones, Amy R Mehollin-Ray, H Brandon Tran, Marcella Donaruma-Kwoh, Cristina T Dodge, Elizabeth A Camp, Andrea T Cruz
BACKGROUND: Young children with suspected abusive head trauma often receive skull radiographs to evaluate for fractures as well as computed tomography (CT) of the head to assess for intracranial injury. Using a CT as the primary modality to evaluate both fracture and intracranial injury could reduce exposure to radiation without sacrificing performance. OBJECTIVE: To evaluate the sensitivity of CT head with (3-D) reconstruction compared to skull radiographs to identify skull fractures in children with suspected abusive head trauma...
October 15, 2016: Pediatric Radiology
https://www.readbyqxmd.com/read/27729601/-diagnosis-and-treatment-of-abusive-head-trauma
#10
Masahiro Nonaka
No abstract text is available yet for this article.
October 2016: No Shinkei Geka. Neurological Surgery
https://www.readbyqxmd.com/read/27703960/effect-of-mild-traumatic-brain-injury-and-demographic-factors-on-psychological-outcome
#11
Elham Shafiei, Esmaeil Fakharian, Abdollah Omidi, Hossein Akbari, Ali Delpisheh
BACKGROUND: It is well-known that severe brain injury can make people susceptible to psychological symptoms. However, mild traumatic brain injury (MTBI) is still open for discussion. OBJECTIVES: This study aimed to compare psychological symptoms of MTBI patients with those without MTBI considering demographic auxiliary variables. PATIENTS AND METHODS: This prospective cohort study was conducted on 50 MTBI patients and 50 healthy subjects aged 15 - 65 years...
June 2016: Archives of Trauma Research
https://www.readbyqxmd.com/read/27692626/the-utility-of-a-trauma-1-op-activation-at-a-level-1-pediatric-trauma-center
#12
Madison M Hunt, Austin M Stevens, Kristine W Hansen, Stephen J Fenton
PURPOSE: To expedite flow of injured children suspected to require operative intervention, a "trauma 1 OP" (T1OP) activation classification was created. The purpose of this study was to review this strategy at a level 1 pediatric trauma center. METHODS: A retrospective review of T1OP activations between 2003 and 2015 was performed. Children suspected of requiring neurosurgical intervention were classified as trauma 1 OP neuro (T1OP(N)). Comparisons were made to trauma 1 (T1) patients who required emergent operative intervention, excluding orthopedic injuries...
September 14, 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27680755/prior-opportunities-to-identify-abuse-in-children-with-abusive-head-trauma
#13
Megan M Letson, Jennifer N Cooper, Katherine J Deans, Philip V Scribano, Kathi L Makoroff, Kenneth W Feldman, Rachel P Berger
Infants with minor abusive injuries are at risk for more serious abusive injury, including abusive head trauma (AHT). Our study objective was to determine if children with AHT had prior opportunities to detect abuse and to describe the opportunities. All AHT cases from 7/1/2009 to 12/31/2011 at four tertiary care children's hospitals were included. A prior opportunity was defined as prior evaluation by either a medical or child protective services (CPS) professional when the symptoms and/or referral could be consistent with abuse but the diagnosis was not made and/or an alternate explanation was given and accepted...
October 2016: Child Abuse & Neglect
https://www.readbyqxmd.com/read/27668916/carotid-artery-dissection-with-associated-territory-stroke-after-a-minor-head-trauma-in-a-healthy-4-month-old-child
#14
Robert Zant, Michael Melter, Christian Doerfler, Felix Schlachetzki, Ernst-Michael Jung, Stefan Schilling, Juergen Kunkel
Internal carotid artery (ICA) dissections with associated stroke are rare events in infants. The usual pathomechanisms include direct trauma to the artery, blunt intraoral trauma, or child abuse. We describe the case of a 4-month-old male patient with ICA dissection and associated middle cerebral artery territory infarction associated with hyperextension/hyperrotation after a minor head injury. Upon treatment with anticoagulants, the patient showed significant improvement of the left-sided hemiparesis. Hemorrhagic transformation that presented shortly after middle cerebral artery infarction did not further increase under heparin treatment and prevented further embolism...
September 23, 2016: Pediatric Emergency Care
https://www.readbyqxmd.com/read/27666073/shaken-baby-syndrome-and-abusive-head-trauma-are-real-problems
#15
Paul G Fisher
No abstract text is available yet for this article.
October 2016: Journal of Pediatrics
https://www.readbyqxmd.com/read/27613632/the-efficacy-and-safety-of-burr-hole-craniotomy-without-continuous-drainage-for-chronic-subdural-hematoma-and-subdural-hygroma-in-children-under-2%C3%A2-years-of-age
#16
Kazuya Matsuo, Nobuyuki Akutsu, Kunitoshi Otsuka, Kazuki Yamamoto, Atsufumi Kawamura, Tatsuya Nagashima
PURPOSE: Various treatment modalities have been used in the management of chronic subdural hematoma and subdural hygroma (CSDH/SDHy) in children. However, few studies have examined burr-hole craniotomy without continuous drainage in such cases. Here, we retrospectively evaluated the efficacy and safety of burr-hole craniotomy without continuous drainage for CSDH/SDHy in children under 2 years old. We also aimed to determine the predictors of CSDH/SDHy recurrence. METHODS: We conducted a retrospective chart review of 25 children under 2 years old who underwent burr-hole craniotomy without continuous drainage for CSDH/SDHy at a pediatric teaching hospital over a 10-year period...
December 2016: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/27460664/prevalence-of-retinal-hemorrhages-in-infants-presenting-with-isolated-long-bone-fractures-and-evaluation-for-abuse
#17
Brian S Payne, Timothy J Kutz, Ann Di Maio, James M Gerard
BACKGROUND: Fractures are a frequent reason for emergency department visits and evaluation for abusive head trauma is an associated concern in infants. Recent guidelines have suggested that retinal examination may not be necessary in the absence of intracranial injury, but there is a lack of empirical evidence in infants < 1 year of age. OBJECTIVE: Our aim was to evaluate the prevalence of retinal hemorrhages in infants with isolated long bone fractures. METHODS: Retrospective chart review of infants < 1 year of age who presented to an urban, tertiary care pediatric hospital between January 2004 and April 2014 with the diagnosis of an acute long bone fracture or retinal hemorrhages...
October 2016: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27458075/acceptance-of-shaken-baby-syndrome-and-abusive-head-trauma-as-medical-diagnoses
#18
Sandeep K Narang, Cynthia Estrada, Sarah Greenberg, Daniel Lindberg
OBJECTIVE: To assess the current general acceptance within the medical community of shaken baby syndrome (SBS), abusive head trauma (AHT), and several alternative explanations for findings commonly seen in abused children. STUDY DESIGN: This was a survey of physicians frequently involved in the evaluation of injured children at 10 leading children's hospitals. Physicians were asked to estimate the likelihood that subdural hematoma, severe retinal hemorrhages, and coma or death would result from several proposed mechanisms...
October 2016: Journal of Pediatrics
https://www.readbyqxmd.com/read/27445560/the-effect-of-hemoglobin-levels-on-mortality-in-pediatric-patients-with-severe-traumatic-brain-injury
#19
Kevin F Yee, Andrew M Walker, Elaine Gilfoyle
Objective. There is increasing evidence of adverse outcomes associated with blood transfusions for adult traumatic brain injury patients. However, current evidence suggests that pediatric traumatic brain injury patients may respond to blood transfusions differently on a vascular level. This study examined the influence of blood transfusions and anemia on the outcome of pediatric traumatic brain injury patients. Design. A retrospective cohort analysis of severe pediatric traumatic brain injury (TBI) patients was undertaken to investigate the association between blood transfusions and anemia on patient outcomes...
2016: Canadian Respiratory Journal: Journal of the Canadian Thoracic Society
https://www.readbyqxmd.com/read/27444293/evaluation-of-the-necessity-of-hospitalization-in-children-with-an-isolated-linear-skull-fracture-isf
#20
Adi Reuveni-Salzman, Guy Rosenthal, Oded Poznanski, Yigal Shoshan, Mony Benifla
OBJECTIVE: The prevalence of skull fractures after mild head trauma is 2 % in children of all ages and 11 % in children younger than 2 years. The current standard management for a child diagnosed with an isolated skull fracture (ISF), in our institute, is hospitalization for a 24-h observation period. Based on data from the literature, less than 1 % of all minor head injuries require neurosurgical intervention. The main objective of this study was to evaluate the risk of neurological deterioration of ISF cases, in order to assess the need for hospitalization...
September 2016: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
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