Abstract:
:The combination of subdural hemorrhage (SDH), retinal hemorrhage (RH), and encephalopathy, or the presence of severe retinal hemorrhages alone in infants, is often attributed to and has been stated to be pathognomonic for abusive head trauma (AHT) or shaken baby syndrome. These beliefs have been challenged, because the same constellation of findings has been identified in accidental head injuries and natural diseases, and most if not all of the studies that support the concept of diagnostic specificity have serious flaws in their methodology. Presented here are two cases of severe retinal hemorrhages with retinoschisis associated with subdural hemorrhage in a natural disease and with severe cerebral edema in an accidental head injury. These cases challenge the dogma that severe retinal hemorrhages with retinoschisis are pathognomonic for AHT.
journal_name
J Forensic Scijournal_title
Journal of forensic sciencesauthors
Shuman MJ,Hutchins KDdoi
10.1111/1556-4029.13336subject
Has Abstractpub_date
2017-05-01 00:00:00pages
807-811issue
3eissn
0022-1198issn
1556-4029journal_volume
62pub_type
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