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Article ; Online: Spinal subdural hemorrhage in abusive head trauma: a pictorial review.

Garcia-Pires, Flavio / Jayappa, Sateesh / Desai, Shivang / Ramakrishnaiah, Raghu H / Choudhary, Arabinda K

Pediatric radiology

2021  Volume 51, Issue 6, Page(s) 980–990

Abstract: A growing body of evidence links abusive head trauma (AHT) to patterns of direct and indirect spinal injuries, such as spinal subdural hemorrhage (SDH). Identification of evidence of spinal injury such as spinal SDH plays a crucial role in the diagnosis ... ...

Abstract A growing body of evidence links abusive head trauma (AHT) to patterns of direct and indirect spinal injuries, such as spinal subdural hemorrhage (SDH). Identification of evidence of spinal injury such as spinal SDH plays a crucial role in the diagnosis and subsequent management of the index child with AHT and his or her siblings. In a value-based practice of medicine, it can be argued that adding spine imaging to identify spinal SDH in the workup of AHT adds value to both the short- and long-term management of the patient. This pictorial review describes the normal appearance of spinal SDH and challenges of identifying spinal SDH, and it explores the mechanism of spinal SDH development in AHT.
MeSH term(s) Child ; Child Abuse/diagnosis ; Craniocerebral Trauma/diagnostic imaging ; Female ; Hematoma, Subdural/diagnostic imaging ; Humans ; Infant ; Magnetic Resonance Imaging ; Male ; Retrospective Studies
Language English
Publishing date 2021-05-17
Publishing country Germany
Document type Journal Article ; Review
ZDB-ID 124459-0
ISSN 1432-1998 ; 0301-0449
ISSN (online) 1432-1998
ISSN 0301-0449
DOI 10.1007/s00247-020-04931-7
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