Document Detail

Periadventitial extracranial vertebral artery hemorrhage in a case of shaken baby syndrome.
MedLine Citation:
PMID:  11005195     Owner:  NLM     Status:  MEDLINE    
We report a case of a two-month-old boy who became unresponsive in the sole custody of his father. Resuscitation efforts on route to the hospital were able to restore the infant's heart beat. However, neurologic function never recovered. Autopsy revealed massive cerebral edema, recent subdural, and subarachnoid hemorrhages, bilateral retinal hemorrhages, and cervical spine ligament hemorrhages. Separation of individual cervical vertebrae showed extensive, bilateral, periadventitial vertebral artery hemorrhages between C1 and C4, with corresponding luminal compression of the vertebral arteries. The importance of this previously unreported phenomena of periadventitial vertebral artery hemorrhage in the setting of shaken baby syndrome is discussed.
A M Gleckman; S C Kessler; T W Smith
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of forensic sciences     Volume:  45     ISSN:  0022-1198     ISO Abbreviation:  J. Forensic Sci.     Publication Date:  2000 Sep 
Date Detail:
Created Date:  2000-11-01     Completed Date:  2000-11-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0375370     Medline TA:  J Forensic Sci     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1151-3     Citation Subset:  IM    
Department of Pathology, College of Physicians and Surgeons of Columbia University, New York, NY, USA.
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MeSH Terms
Cause of Death
Cervical Vertebrae / injuries,  pathology
Child Abuse / diagnosis*
Forensic Medicine
Hemorrhage / diagnosis,  etiology*
Spinal Cord / blood supply
Vertebral Artery* / injuries,  pathology

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