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Child Abuse, Timing of Subdural Hematoma (SDH)

Smirniotopoulos, M.D. JGSM - MedPix (2004)

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Affiliation: Uniformed Services University

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The perifalcine region was the most frequent site of intracranial bleeding... Blood hyperdensity was always found on CT scans performed during the first week, and turned hypodense on about the 9th day... Three patients had retinal hemorrhage, of a type distinct from that found in SBS. ..... The fact that a single and recent trauma can result in mixed-density ISDH [Infantile SDH] can be of great importance in forensic medicine" PMID: 12411716 The importance of retinal hemorrhages in non-accidental trauma was also emphasized by Pierre-Kahn "Intraocular hemorrhages are frequent in shaken babies but not specific of this syndrome... When associated with a subdural hematoma, they are strongly suggestive of shaken neglect... Duhem et al later reported "The time course of MRI signal of subdural hematomas is different from that of cerebral hematomas... This difference is significant in T2 sequence and FLAIR, especially in the early subacute period... http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?itool=abstractplus&db=pubmed&cmd=Retrieve&dopt=abstractplus&list_uids=15231923 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?itool=abstractplus&db=pubmed&cmd=Retrieve&dopt=abstractplus&list_uids=15926388 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?itool=abstractplus&db=pubmed&cmd=Retrieve&dopt=abstractplus&list_uids=10632244 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?itool=abstractplus&db=pubmed&cmd=Retrieve&dopt=abstractplus&list_uids=16113132 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Display&itool=abstractplus&dopt=pubmed_pubmed&from_uid=12172938

No MeSH data available.


With normal CT window level and window width, an acute hematoma is hyperdense.  As blood (hemoglobin) begins to break down, it loses attenuation - eventually becoming hypoattenuating compared to brain and similar to CSF density.
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MPX2702_synpic41739: With normal CT window level and window width, an acute hematoma is hyperdense. As blood (hemoglobin) begins to break down, it loses attenuation - eventually becoming hypoattenuating compared to brain and similar to CSF density.


Child Abuse, Timing of Subdural Hematoma (SDH)

Smirniotopoulos, M.D. JGSM - MedPix (2004)

With normal CT window level and window width, an acute hematoma is hyperdense.  As blood (hemoglobin) begins to break down, it loses attenuation - eventually becoming hypoattenuating compared to brain and similar to CSF density.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2702&req=5

MPX2702_synpic41739: With normal CT window level and window width, an acute hematoma is hyperdense. As blood (hemoglobin) begins to break down, it loses attenuation - eventually becoming hypoattenuating compared to brain and similar to CSF density.

View Article: MedPix Image - MedPix Topic

Affiliation: Uniformed Services University

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

The perifalcine region was the most frequent site of intracranial bleeding... Blood hyperdensity was always found on CT scans performed during the first week, and turned hypodense on about the 9th day... Three patients had retinal hemorrhage, of a type distinct from that found in SBS. ..... The fact that a single and recent trauma can result in mixed-density ISDH [Infantile SDH] can be of great importance in forensic medicine" PMID: 12411716 The importance of retinal hemorrhages in non-accidental trauma was also emphasized by Pierre-Kahn "Intraocular hemorrhages are frequent in shaken babies but not specific of this syndrome... When associated with a subdural hematoma, they are strongly suggestive of shaken neglect... Duhem et al later reported "The time course of MRI signal of subdural hematomas is different from that of cerebral hematomas... This difference is significant in T2 sequence and FLAIR, especially in the early subacute period... http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?itool=abstractplus&db=pubmed&cmd=Retrieve&dopt=abstractplus&list_uids=15231923 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?itool=abstractplus&db=pubmed&cmd=Retrieve&dopt=abstractplus&list_uids=15926388 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?itool=abstractplus&db=pubmed&cmd=Retrieve&dopt=abstractplus&list_uids=10632244 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?itool=abstractplus&db=pubmed&cmd=Retrieve&dopt=abstractplus&list_uids=16113132 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Display&itool=abstractplus&dopt=pubmed_pubmed&from_uid=12172938

No MeSH data available.