Diminishing acute subdural haemorrhage on post mortem CT scan: a case series

McCarthy, Sinead; Garland, Jack; Hensby-Bennett, Sarah; Philcox, Winston; Kesha, Kilak; Milne, David; O’Connor, Kate; Stables, Simon; Morrow, Paul; Triggs, Yvonne; Tse, Rexson

doi:10.1016/j.pathol.2018.12.331

Cited by 1 publication

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“…Although postmortem radiology can aid in identifying injuries, the detection of sometimes subtle injuries is based on the expert observation and can be missed, especially when compounded by postmortem changes. Subdural hemorrhage, the most common finding in pediatric “abuse head trauma,” has been documented to diminish at postmortem, which can render it challenging if not impossible to identify 16–18 . This would explain why the initial postmortem radiology studies were unable to recognize the traumatic head injury in those 2 cases.…”

Section: Discussionmentioning

confidence: 99%

“…Subdural hemorrhage, the most common finding in pediatric "abuse head trauma," has been documented to diminish at postmortem, which can render it challenging if not impossible to identify. [16][17][18] This would explain why the initial postmortem radiology studies were unable to recognize the traumatic head injury in those 2 cases. Furthermore, we have observed cases in toddlers, older children, and cases not presenting as cot death where significant injuries, including bone fractures and intracerebral hemorrhage were missed upon postmortem radiological study and only to be discovered later.…”

Section: Infant Homicide With Respect To Postmortem Radiological Inve...mentioning

confidence: 99%

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A 5-Year Retrospective Study on Infant Homicide Presenting as Cot Death

Tse

Ioelu²,

Chen³

et al. 2021

Am J Forensic Med Pathol

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Being found dead in cot or bed is the most common presentation encountered with infant deaths. These deaths are often associated with unsafe sleep environment. The postmortem examination in such cases is often negative, and along with family objections, cultural, and other factors, may lead to a coroner considering not authorizing a postmortem examination. However, not identifying a homicide is a potential risk if a postmortem examination is not performed. This 5-year retrospective study investigated the proportion of infant homicide death initially presenting as cot death. Of a total of 103 cases of infants initially presenting as being found dead in cot or bed, 3 (approximately 3%) were classified as homicides after postmortem examination. During the study period, a total of 9 infant homicides were reported, translating to 33% (3 of 9) of infant homicides presented as cot deaths. Postmortem radiology was a valuable adjunct, but was unable to recognize 2 of the homicide cases with traumatic head injuries (with subdural hemorrhage and brain injury only). We strongly advocate that all infant deaths presenting as cot death require a full postmortem examination.

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Section: Discussionmentioning

confidence: 99%

Section: Infant Homicide With Respect To Postmortem Radiological Inve...mentioning

confidence: 99%