| Fatal spontaneous subdural bleeding due to neonatal giant cell hepatitis: a rare differential diagnosis of shaken baby syndrome. | |
| | |
MedLine Citation:
|
PMID: 21331818 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
A 7-week-old girl showed vomiting after feeding, facial pallor, loss of muscle tone and respiratory depression. An emergency doctor performed successful resuscitation and after arrival in hospital, cranial ultrasound showed left-sided subdural hemorrhage, cerebral edema with a shift of the midline, and a decrease in cerebral perfusion. Ophthalmologic examination showed retinal hemorrhage. In view of this, the doctors suspected shaken baby syndrome and approached the parents with their suspicions, but they denied any shaking or trauma. Despite surgery for the subdural hemorrhage the girl died a few hours later with a severe coagulopathy. Autopsy verified subdural hemorrhage, cerebral edema and retinal hemorrhage, but also revealed intact bridging veins and a lack of optic nerve sheath hemorrhage, therefore shaken baby syndrome could not be proven by autopsy. Histological examination showed severe neonatal giant cell hepatitis as the cause of the severe coagulopathy and the associated spontaneous subdural bleeding. Neonatal giant cell hepatitis may be responsible for unexpected deaths in infancy and, although rarely associated with subdural bleeding, must be considered as a potential differential diagnosis of shaken baby syndrome. |
| | |
Authors:
|
Saskia S Guddat; Edwin Ehrlich; Hubert Martin; Michael Tsokos |
Related Documents
:
|
3162028 - Congenital heart disease as a significant factor in the morbidity of children with down... 9167348 - Congenital onychodysplasia of the index fingers--iso-kikuchi syndrome. a case involving... 21655208 - Mcleod syndrome: report of an indian family with phenotypic heterogeneity. 22629518 - Ogilvie's syndrome in a case of myxedema coma. 3565248 - The localization of bypass tracts in the wolff-parkinson-white syndrome from the surfac... 10673578 - Polymyalgia rheumatica and temporal arteritis: a case presentation. |
Publication Detail:
|
Type: Case Reports; Journal Article Date: 2011-02-18 |
Journal Detail:
|
Title: Forensic science, medicine, and pathology Volume: 7 ISSN: 1556-2891 ISO Abbreviation: Forensic Sci Med Pathol Publication Date: 2011 Sep |
Date Detail:
|
Created Date: 2011-07-29 Completed Date: 2011-12-29 Revised Date: 2012-02-29 |
Medline Journal Info:
|
Nlm Unique ID: 101236111 Medline TA: Forensic Sci Med Pathol Country: United States |
Other Details:
|
Languages: eng Pagination: 294-7 Citation Subset: IM |
Affiliation:
|
Institute of Legal Medicine and Forensic Sciences, Charité-Universitätsmedizin Berlin, Turmstr. 21 (Haus L), 10559, Berlin, Germany. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Brain Edema
/
etiology,
pathology Diagnosis, Differential Female Forensic Pathology Giant Cells / pathology* Hematoma, Subdural / etiology*, pathology Hepatitis / congenital*, pathology* Humans Infant Retinal Hemorrhage / etiology, pathology Shaken Baby Syndrome / diagnosis |
| Comments/Corrections | |
Comment In:
|
Forensic Sci Med Pathol. 2012 Mar;8(1):79; author reply 80
[PMID:
21948236
]
Forensic Sci Med Pathol. 2011 Sep;7(3):298-300 [PMID: 21479950 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Bilateral perilunar fracture luxation in a patient with multiple trauma.
Next Document: Comorbidity as a risk factor for overall survival and decision criteria for intensity of chemotherap...