Document Detail

Violence is not necessary to produce subdural and retinal haemorrhage: a reply to Punt et al.
MedLine Citation:
PMID:  15513769     Owner:  NLM     Status:  MEDLINE    
In this article we reply to the recent critique by Punt et al. in Pediatric Rehabilitation. Our hypothesis about the pathogenesis of intracranial bleeding in infants has three important implications. First, in the case of an infant with a swollen brain, subdural and retinal haemorrhage but no objective evidence of trauma, the findings by themselves are not certain evidence of abuse; second, violence is not necessary to produce subdural and retinal haemorrhage; and lastly, non-traumatic events producing apnoea with a catastrophic rise in intracranial pressure could produce a clinical picture identical to that seen in trauma.
J F Geddes; R C Tasker; G G W Adams; H L Whitwell
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Pediatric rehabilitation     Volume:  7     ISSN:  1363-8491     ISO Abbreviation:  Pediatr Rehabil     Publication Date:    2004 Oct-Dec
Date Detail:
Created Date:  2004-10-29     Completed Date:  2005-02-01     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9709256     Medline TA:  Pediatr Rehabil     Country:  England    
Other Details:
Languages:  eng     Pagination:  261-5     Citation Subset:  IM    
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MeSH Terms
Brain Hemorrhage, Traumatic / diagnosis*,  mortality
Child Abuse*
Child, Preschool
Hematoma, Subdural / etiology,  mortality,  physiopathology*
Injury Severity Score
Retinal Hemorrhage / etiology,  mortality,  physiopathology*
Risk Assessment
Shaken Baby Syndrome / diagnosis,  mortality
Survival Rate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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