@article{ref1,
title="Abusive head trauma: Differentiation between impact and non-impact cases based on neuroimaging findings and skeletal surveys",
journal="European journal of radiology",
year="2014",
author="Sieswerda-Hoogendoorn, T. and Robben, S. G. F. and Karst, W. A. and Moesker, F. M. and van Aalderen, W. M. and Laméris, J. S. and van Rijn, R. R.",
volume="83",
number="3",
pages="584-588",
abstract="OBJECTIVES: To determine whether imaging findings can be used to differentiate between impact and non-impact head trauma in a group of fatal and non-fatal abusive head trauma (AHT) victims. METHODS: We included all AHT cases in the Netherlands in the period 2005-2012 for which a forensic report was written for a court of law, and for which imaging was available for reassessment. Neuroradiological and musculoskeletal findings were scored by an experienced paediatric radiologist. RESULTS: We identified 124 AHT cases; data for 104 cases (84%) were available for radiological reassessment. The AHT victims with a skull fracture had fewer hypoxic ischaemic injuries than AHT victims without a skull fracture (p=0.03), but the relative difference was small (33% vs. 57%). There were no significant differences in neuroradiological and musculoskeletal findings between impact and non-impact head trauma cases if the distinction between impact and non-impact head trauma was based on visible head injuries, as determined by clinical examination, as well as on the presence of skull fractures. CONCLUSIONS: Neuroradiological and skeletal findings cannot discriminate between impact and non-impact head trauma in abusive head trauma victims.<p /> <p>Language: en</p>",
language="en",
issn="0720-048X",
doi="10.1016/j.ejrad.2013.11.015",
url="http://dx.doi.org/10.1016/j.ejrad.2013.11.015"
}