The pathology and aetiology of subcortical clefts in infants.
Brain
/ blood supply
Brain Contusion
Cerebral Cortex
/ pathology
Cerebral Hemorrhage
/ pathology
Cerebrovascular Circulation
Child Abuse
/ diagnosis
Diagnosis, Differential
Female
Forensic Pathology
Humans
Infant
Infant, Newborn
Male
Pia Mater
/ pathology
Shaken Baby Syndrome
/ diagnosis
Terminology as Topic
Venous Insufficiency
/ pathology
Venous Thrombosis
/ pathology
Cerebral venous thrombosis
Contusions
Cortical tears
Subpial bleeding
Trauma
Journal
Forensic science international
ISSN: 1872-6283
Titre abrégé: Forensic Sci Int
Pays: Ireland
ID NLM: 7902034
Informations de publication
Date de publication:
Mar 2019
Mar 2019
Historique:
received:
30
05
2018
revised:
12
11
2018
accepted:
11
01
2019
pubmed:
4
2
2019
medline:
15
3
2019
entrez:
4
2
2019
Statut:
ppublish
Résumé
In infants, traumatic surface contusions of the brain are rare but subcortical clefts or cysts, variously labelled "contusional tears", "contusional clefts", "cortical tears" or "parenchymal lacerations" have been ascribed to trauma, and are even said to be characteristic of shaking and abuse. We describe the pathology of subcortical clefts or haemorrhages in seven infants. In none were the axonal swellings characteristic of traumatic axonal injury seen in relation to the clefts. Subpial bleeding was associated with clefts in all the cases of recent onset. We hypothesize that subcortical clefts are not due to direct mechanical forces of trauma but are part of a secondary cascade caused by impaired venous drainage which may or may not follow trauma. The finding of subcortical and subpial haemorrhages should prompt a search for CVT. We consider the term "contusion" is not accurate and is misleading.
Identifiants
pubmed: 30711846
pii: S0379-0738(19)30020-9
doi: 10.1016/j.forsciint.2019.01.011
pii:
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
115-122Informations de copyright
Copyright © 2019 Elsevier B.V. All rights reserved.