Universität zu Köln

Gekat, Wiebke, Binder, Svenja, Wetzel, Christian, Rothschild, Markus A. and Banaschak, Sibylle ORCID: 0000-0002-1413-1250 (2018). SDH and EDH in children up to 18years of age-a clinical collective in the view of forensic considerations. Int. J. Legal Med., 132 (6). S. 1719 - 1728. NEW YORK: SPRINGER. ISSN 1437-1596

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Abstract

Providing concise proof of child abuse relies heavily on clinical findings, such as certain patterns of injury or otherwise not plausibly explainable trauma. Subdural hemorrhaging has been identified as a common occurrence in abused children whereas epidural hemorrhaging is related to accidents. In order to explore this correlation, we retrospectively analyzed clinical data of children under 19years of age diagnosed with either injury. Reviewing 56 cases of epidural and 38 cases of subdural bleeding, it was shown that subdural bleeding is more common in young children and extremely often a result of suspected abuse in children under 2years of age. Epidural hemorrhaging however never was found in the context of suspected abuse, was unrelated to other injuries typical for abuse, and did not see a statistically significant increase in any age group. In conformity with currently theorized mechanisms of injury for both types of bleeding, we found that subdural hemorrhaging in young children is closely associated with abuse whereas epidural bleeding is not.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Gekat, Wiebke UNSPECIFIED UNSPECIFIED UNSPECIFIED Binder, Svenja UNSPECIFIED UNSPECIFIED UNSPECIFIED Wetzel, Christian UNSPECIFIED UNSPECIFIED UNSPECIFIED Rothschild, Markus A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Banaschak, Sibylle UNSPECIFIED orcid.org/0000-0002-1413-1250 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-168371
DOI:	10.1007/s00414-018-1889-2
Journal or Publication Title:	Int. J. Legal Med.
Volume:	132
Number:	6
Page Range:	S. 1719 - 1728
Date:	2018
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1437-1596
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language ABUSIVE HEAD TRAUMA; YOUNG-CHILDREN; EXTRADURAL HEMATOMA; SUBDURAL HEMATOMAS; OPHTHALMOLOGIC FINDINGS; NONACCIDENTAL TRAUMA; RETINAL HEMORRHAGES; EPIDURAL HEMATOMA; INJURY-PATTERN; INFANTS Multiple languages Medicine, Legal Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/16837