PT  - JOURNAL ARTICLE
AU  - D. Wittschieber
AU  - B. Karger
AU  - H. Pfeiffer
AU  - M.L. Hahnemann
TI  - Understanding Subdural Collections in Pediatric Abusive Head Trauma
AID  - 10.3174/ajnr.A5855
DP  - 2019 Mar 01
TA  - American Journal of Neuroradiology
PG  - 388--395
VI  - 40
IP  - 3
4099  - http://www.ajnr.org/content/40/3/388.short
4100  - http://www.ajnr.org/content/40/3/388.full
SO  - Am. J. Neuroradiol.2019 Mar 01; 40
AB  - SUMMARY: Life-threatening physical abuse of infants and toddlers is frequently correlated with head injuries. A common variant of the abusive head trauma is the shaken baby syndrome. The present review article sheds light on subdural collections in children with abusive head trauma and aims at providing a recent knowledge base for various medical disciplines involved in diagnostic procedures and legal proceedings. To this end, the different subdural collection entities are presented and illustrated. The pathophysiologic background is explained. Differential and age-diagnostic aspects are discussed and summarized by tabular and graphic overviews. Two problematic constellations frequently occurring during initial CT investigations are evaluated: A mixed-density subdural collection does not prove repeated trauma, and hypodense subdural collections are not synonymous with chronicity. The neuroradiologic analysis and assessment of subdural collections may decisively contribute to answering differential diagnostic and forensic questions. In addition to more reference data, a harmonization of terminology and methodology is urgently needed, especially with respect to age-diagnostic aspects.AHTabusive head traumaBVbridging veincSDHchronic subdural hematomaSDCsubdural collectionSDEsubdural effusionSDHsubdural hematomaSDEmsubdural empyemaSDHysubdural hygromaSDHHysubdural hematohygroma