TY  - JOUR
PY  - 2014//
TI  - Abusive head trauma: Differentiation between impact and non-impact cases based on neuroimaging findings and skeletal surveys
JO  - European journal of radiology
A1  - Sieswerda-Hoogendoorn, T.
A1  - Robben, S. G. F.
A1  - Karst, W. A.
A1  - Moesker, F. M.
A1  - van Aalderen, W. M.
A1  - Laméris, J. S.
A1  - van Rijn, R. R.
SP  - 584
EP  - 588
VL  - 83
IS  - 3
N2  - 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>
LA  - en
SN  - 0720-048X
UR  - http://dx.doi.org/10.1016/j.ejrad.2013.11.015
ID  - ref1
ER  -