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Erschienen in: Pediatric Radiology 6/2021

01.05.2021 | Child abuse imaging

Spinal subdural hemorrhage in abusive head trauma: a pictorial review

verfasst von: Flavio Garcia-Pires, Sateesh Jayappa, Shivang Desai, Raghu H. Ramakrishnaiah, Arabinda K. Choudhary

Erschienen in: Pediatric Radiology | Ausgabe 6/2021

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Abstract

A growing body of evidence links abusive head trauma (AHT) to patterns of direct and indirect spinal injuries, such as spinal subdural hemorrhage (SDH). Identification of evidence of spinal injury such as spinal SDH plays a crucial role in the diagnosis and subsequent management of the index child with AHT and his or her siblings. In a value-based practice of medicine, it can be argued that adding spine imaging to identify spinal SDH in the workup of AHT adds value to both the short- and long-term management of the patient. This pictorial review describes the normal appearance of spinal SDH and challenges of identifying spinal SDH, and it explores the mechanism of spinal SDH development in AHT.
Literatur
1.
Zurück zum Zitat Choudhary AK, Ishak R, Zacharia TT, Dias MS (2014) Imaging of spinal injury in abusive head trauma: a retrospective study. Pediatr Radiol 44:1130–1140CrossRef Choudhary AK, Ishak R, Zacharia TT, Dias MS (2014) Imaging of spinal injury in abusive head trauma: a retrospective study. Pediatr Radiol 44:1130–1140CrossRef
2.
Zurück zum Zitat Choudhary AK, Bradford RK, Dias MS et al (2012) Spinal subdural hemorrhage in abusive head trauma: a retrospective study. Radiology 262:216–223CrossRef Choudhary AK, Bradford RK, Dias MS et al (2012) Spinal subdural hemorrhage in abusive head trauma: a retrospective study. Radiology 262:216–223CrossRef
3.
Zurück zum Zitat Henry MK, Wood JN (2018) Advanced cervical spine imaging in abusive head trauma: an update on recent literature and future directions. Acad Pediatr 18:733–735CrossRef Henry MK, Wood JN (2018) Advanced cervical spine imaging in abusive head trauma: an update on recent literature and future directions. Acad Pediatr 18:733–735CrossRef
4.
Zurück zum Zitat Rabbitt AL, Kelly TG, Yan K et al (2020) Characteristics associated with spine injury on magnetic resonance imaging in children evaluated for abusive head trauma. Pediatr Radiol 50:83–97CrossRef Rabbitt AL, Kelly TG, Yan K et al (2020) Characteristics associated with spine injury on magnetic resonance imaging in children evaluated for abusive head trauma. Pediatr Radiol 50:83–97CrossRef
5.
Zurück zum Zitat Koumellis P, McConachie NS, Jaspan T (2009) Spinal subdural haematomas in children with non-accidental head injury. Arch Dis Child 94:216–219CrossRef Koumellis P, McConachie NS, Jaspan T (2009) Spinal subdural haematomas in children with non-accidental head injury. Arch Dis Child 94:216–219CrossRef
6.
Zurück zum Zitat Kadom N, Khademian Z, Vezina G et al (2014) Usefulness of MRI detection of cervical spine and brain injuries in the evaluation of abusive head trauma. Pediatr Radiol 44:839–848CrossRef Kadom N, Khademian Z, Vezina G et al (2014) Usefulness of MRI detection of cervical spine and brain injuries in the evaluation of abusive head trauma. Pediatr Radiol 44:839–848CrossRef
7.
Zurück zum Zitat Choudhary AK, Servaes S, Slovis TL et al (2018) Consensus statement on abusive head trauma in infants and young children. Pediatr Radiol 48:1048–1065CrossRef Choudhary AK, Servaes S, Slovis TL et al (2018) Consensus statement on abusive head trauma in infants and young children. Pediatr Radiol 48:1048–1065CrossRef
8.
Zurück zum Zitat Edwards GA, Maguire SA, Gaither JR, Leventhal JM (2020) What do confessions reveal about abusive head trauma? A systematic review. Child Abuse Rev 29:253–268CrossRef Edwards GA, Maguire SA, Gaither JR, Leventhal JM (2020) What do confessions reveal about abusive head trauma? A systematic review. Child Abuse Rev 29:253–268CrossRef
9.
Zurück zum Zitat Bell E, Shouldice M, Levin AV (2011) Abusive head trauma: a perpetrator confesses. Child Abus Negl 35:74–77CrossRef Bell E, Shouldice M, Levin AV (2011) Abusive head trauma: a perpetrator confesses. Child Abus Negl 35:74–77CrossRef
10.
Zurück zum Zitat Vinchon M, de Foort-Dhellemmes S, Desurmont M, Delestret I (2010) Confessed abuse versus witnessed accidents in infants: comparison of clinical, radiological, and ophthalmological data in corroborated cases. Childs Nerv Syst 26:637–645CrossRef Vinchon M, de Foort-Dhellemmes S, Desurmont M, Delestret I (2010) Confessed abuse versus witnessed accidents in infants: comparison of clinical, radiological, and ophthalmological data in corroborated cases. Childs Nerv Syst 26:637–645CrossRef
11.
Zurück zum Zitat Adamsbaum C, Grabar S, Mejean N, Rey-Salmon C (2010) Abusive head trauma: judicial admissions highlight violent and repetitive shaking. Pediatrics 126:546–555CrossRef Adamsbaum C, Grabar S, Mejean N, Rey-Salmon C (2010) Abusive head trauma: judicial admissions highlight violent and repetitive shaking. Pediatrics 126:546–555CrossRef
12.
Zurück zum Zitat Mitchell BS, Humphreys BK, O’Sullivan E (1998) Attachments of the ligamentum nuchae to cervical posterior spinal dura and the lateral part of the occipital bone. J Manip Physiol Ther 21:145–148 Mitchell BS, Humphreys BK, O’Sullivan E (1998) Attachments of the ligamentum nuchae to cervical posterior spinal dura and the lateral part of the occipital bone. J Manip Physiol Ther 21:145–148
13.
Zurück zum Zitat Dean NA, Mitchell BS (2002) Anatomic relation between the nuchal ligament (ligamentum nuchae) and the spinal dura mater in the craniocervical region. Clin Anat 15:182–185CrossRef Dean NA, Mitchell BS (2002) Anatomic relation between the nuchal ligament (ligamentum nuchae) and the spinal dura mater in the craniocervical region. Clin Anat 15:182–185CrossRef
14.
Zurück zum Zitat Zheng N, Yuan XY, Li YF et al (2014) Definition of the to be named ligament and vertebrodural ligament and their possible effects on the circulation of CSF. PLoS One 9:e103451CrossRef Zheng N, Yuan XY, Li YF et al (2014) Definition of the to be named ligament and vertebrodural ligament and their possible effects on the circulation of CSF. PLoS One 9:e103451CrossRef
15.
Zurück zum Zitat Palomeque-Del-Cerro L, Arráez-Aybar LA, Rodríguez-Blanco C et al (2017) A systematic review of the soft-tissue connections between neck muscles and dura mater: the myodural bridge. Spine 42:49–54CrossRef Palomeque-Del-Cerro L, Arráez-Aybar LA, Rodríguez-Blanco C et al (2017) A systematic review of the soft-tissue connections between neck muscles and dura mater: the myodural bridge. Spine 42:49–54CrossRef
16.
Zurück zum Zitat Zheng N, Chung BS, Li YL et al (2020) The myodural bridge complex defined as a new functional structure. Surg Radiol Anat 42:143–153CrossRef Zheng N, Chung BS, Li YL et al (2020) The myodural bridge complex defined as a new functional structure. Surg Radiol Anat 42:143–153CrossRef
17.
Zurück zum Zitat Pontell ME, Scali F, Marshall E, Enix D (2013) The obliquus capitis inferior myodural bridge. Clin Anat 26:450–454CrossRef Pontell ME, Scali F, Marshall E, Enix D (2013) The obliquus capitis inferior myodural bridge. Clin Anat 26:450–454CrossRef
18.
Zurück zum Zitat Scali F, Pontell ME, Enix DE, Marshall E (2013) Histological analysis of the rectus capitis posterior major’s myodural bridge. Spine J 13:558–563CrossRef Scali F, Pontell ME, Enix DE, Marshall E (2013) Histological analysis of the rectus capitis posterior major’s myodural bridge. Spine J 13:558–563CrossRef
19.
Zurück zum Zitat Enix DE, Scali F, Pontell ME (2014) The cervical myodural bridge, a review of literature and clinical implications. J Can Chiropr Assoc 58:184–192PubMedPubMedCentral Enix DE, Scali F, Pontell ME (2014) The cervical myodural bridge, a review of literature and clinical implications. J Can Chiropr Assoc 58:184–192PubMedPubMedCentral
20.
Zurück zum Zitat Kahkeshani K, Ward PJ (2012) Connection between the spinal dura mater and suboccipital musculature: evidence for the myodural bridge and a route for its dissection — a review. Clin Anat 25:415–422CrossRef Kahkeshani K, Ward PJ (2012) Connection between the spinal dura mater and suboccipital musculature: evidence for the myodural bridge and a route for its dissection — a review. Clin Anat 25:415–422CrossRef
21.
Zurück zum Zitat Scali F, Pontell ME, Nash LG, Enix DE (2015) Investigation of meningomyovertebral structures within the upper cervical epidural space: a sheet plastination study with clinical implications. Spine J 15:2417–2424CrossRef Scali F, Pontell ME, Nash LG, Enix DE (2015) Investigation of meningomyovertebral structures within the upper cervical epidural space: a sheet plastination study with clinical implications. Spine J 15:2417–2424CrossRef
22.
Zurück zum Zitat Shi B, Zheng X, Min S et al (2014) The morphology and clinical significance of the dorsal meningovertebra ligaments in the cervical epidural space. Spine J 14:2733–2739CrossRef Shi B, Zheng X, Min S et al (2014) The morphology and clinical significance of the dorsal meningovertebra ligaments in the cervical epidural space. Spine J 14:2733–2739CrossRef
23.
Zurück zum Zitat Scali F, Pontell ME, Welk AB et al (2013) Magnetic resonance imaging investigation of the atlanto-axial interspace. Clin Anat 26:444–449CrossRef Scali F, Pontell ME, Welk AB et al (2013) Magnetic resonance imaging investigation of the atlanto-axial interspace. Clin Anat 26:444–449CrossRef
24.
Zurück zum Zitat Nash L, Nicholson H, Lee ASJ et al (2005) Configuration of the connective tissue in the posterior atlanto-occipital interspace: a sheet plastination and confocal microscopy study. Spine 30:1359–1366CrossRef Nash L, Nicholson H, Lee ASJ et al (2005) Configuration of the connective tissue in the posterior atlanto-occipital interspace: a sheet plastination and confocal microscopy study. Spine 30:1359–1366CrossRef
25.
Zurück zum Zitat Zumpano MP, Hartwell S, Jagos CS (2006) Soft tissue connection between rectus capitus posterior minor and the posterior atlanto-occipital membrane: a cadaveric study. Clin Anat 19:522–527CrossRef Zumpano MP, Hartwell S, Jagos CS (2006) Soft tissue connection between rectus capitus posterior minor and the posterior atlanto-occipital membrane: a cadaveric study. Clin Anat 19:522–527CrossRef
26.
Zurück zum Zitat Hack GD, Koritzer RT, Robinson WL et al (1995) Anatomic relation between the rectus capitis posterior minor muscle and the dura mater. Spine 20:2484–2486CrossRef Hack GD, Koritzer RT, Robinson WL et al (1995) Anatomic relation between the rectus capitis posterior minor muscle and the dura mater. Spine 20:2484–2486CrossRef
27.
Zurück zum Zitat Choudhary AK (2020) Understanding the importance of spinal injury in abusive head trauma (AHT). Pediatr Radiol 50:15–16CrossRef Choudhary AK (2020) Understanding the importance of spinal injury in abusive head trauma (AHT). Pediatr Radiol 50:15–16CrossRef
28.
Zurück zum Zitat Nikam RM, Kandula VV, Yue X et al (2020) Birth-related subdural hemorrhage: prevalence and imaging morphology. Pediatr Radiol. (in press) Nikam RM, Kandula VV, Yue X et al (2020) Birth-related subdural hemorrhage: prevalence and imaging morphology. Pediatr Radiol. (in press)
Metadaten
Titel
Spinal subdural hemorrhage in abusive head trauma: a pictorial review
verfasst von
Flavio Garcia-Pires
Sateesh Jayappa
Shivang Desai
Raghu H. Ramakrishnaiah
Arabinda K. Choudhary
Publikationsdatum
01.05.2021
Verlag
Springer Berlin Heidelberg
Erschienen in
Pediatric Radiology / Ausgabe 6/2021
Print ISSN: 0301-0449
Elektronische ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-020-04931-7

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