Pathomorphological staging of subdural hemorrhages: Statistical analysis of posttraumatic histomorphological alterations

Walter, Till; Meißner, Christoph; Oehmichen, M.

doi:10.1016/j.legalmed.2009.01.112

Cited by 29 publications

(21 citation statements)

References 11 publications

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“…Neomembranes are usually present in cSDHs and encapsulate the subdural collection as a result of tissue response and may even subdivide it into different chambers. 34,50,55 Although neomembranes are described as becoming visible to the naked eye after approximately 10 days 34 and were shown to aid in dating injuries, 89 diagnosing such membranes in CT or MR imaging can be very challenging.…”

Section: Differential Diagnoses Of Subdural Hygromasmentioning

confidence: 99%

Subdural Hygromas in Abusive Head Trauma: Pathogenesis, Diagnosis, and Forensic Implications

Wittschieber¹,

Karger²,

Niederstadt

et al. 2014

AJNR Am J Neuroradiol

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SUMMARY:Are subdural hygromas the result of abusive head trauma? CT and MR imaging represent important tools for the diagnosis of abusive head trauma in living infants. In addition, in-depth understanding of the pathogenesis of subdural hygromas is increasingly required by neuroradiologists, pediatricians, and forensic physicians. Therefore, the current knowledge on subdural hygromas is summarized and forensic conclusions are drawn. The most important diagnostic pitfalls, benign enlargement of the subarachnoid space, and chronic subdural hematoma, are discussed in detail. Illustrative cases from forensic practice are presented. Literature analysis indicates that subdural hygromas can occur immediately or be delayed. If other infrequent reasons can be excluded, the presence of subdural hygromas strongly suggests a posttraumatic state and should prompt the physician to search for other signs of abuse. To differentiate subdural hygromas from other pathologies, additional MR imaging of the infant's head is indispensable after initial CT scan. ABBREVIATIONS:AHT ϭ abusive head trauma; BESS ϭ benign enlargement of subarachnoid space; BV ϭ bridging vein; cSDH ϭ chronic subdural hematoma;

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Section: Differential Diagnoses Of Subdural Hygromasmentioning

confidence: 99%

Subdural Hygromas in Abusive Head Trauma: Pathogenesis, Diagnosis, and Forensic Implications

Wittschieber¹,

Karger²,

Niederstadt

et al. 2014

AJNR Am J Neuroradiol

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“…A detailed time-dependent morphological pattern for dating SDH was presented by Walter et al (2009). A modified version of the timetable is reproduced on Table 19.3.…”

Section: Estimating Post-traumatic Survival Time Of Subdural Haemorrhagementioning

confidence: 99%

Mechanical Trauma and Classification of Wounds

Madea¹,

Pollak²,

Thierauf³

et al. 2014

Handbook of Forensic Medicine

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“…Als akut wird die subdurale Blutung dann bezeichnet, wenn diese innerhalb von 3 Tagen nach dem traumatischen Ereignis zu klinischen Symptomen führt. Bei Nachweis einer Blutung zwischen 3 Tagen und 2-3 Wochen spricht man vom subakuten SDH, beim Auftreten der klinischen Symptome nach mehr als 3 Wochen von einem chronischen SDH (Oehmichen et al 2009). …”

Section: Subdurales Hämatomunclassified

“…In seltenen Fällen kann ein Schuss oder, noch seltener, eine Hieb-/ Stichverletzung die Ursache sein. Werkzeuge wie Eispickel, Schraubenzieher oder Meißel dringen im Gegensatz zu Geschossen mit einer relativ niedrigen Geschwindigkeit in den Schädel ein (Oehmichen et al 2009). Derartige Verletzungen finden sich meist an Stellen mit sehr dünnen Knochen, wie am Os temporale oder an der Orbita.…”

Section: Offene Hirnverletzungunclassified