A lucid interval in a victim of abusive head trauma with multiple parenchymal lacerations

IF 1.2 4区 医学 Q3 MEDICINE, LEGAL
Cree Kachelski , Kelsey Gavin , Hayden Head , Danielle Horton , James Anderst
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引用次数: 0

Abstract

Abusive head trauma (AHT) is a leading cause of abusive deaths in children under age one. AHT can include intracranial hemorrhages, hypoxic ischemic injury, or parenchymal lacerations. Most infants with parenchymal lacerations present with acute neurological symptoms. There has been some published literature on lucid intervals in cases of AHT; however, there has not been a described lucid interval with parenchymal lacerations. Parenchymal lacerations typically present with acute symptomatology such as seizures, alteration in mental status, or increased fussiness/lethargy given the damage to neurons and brain structure. We present a case of a healthy 2-month-old who ultimately was diagnosed with AHT and three parenchymal lacerations and had a 2.5 hour period of normal neurological status prior to acute decompensation.

一名头部外伤并伴有多处实质撕裂伤患者的清醒间歇期
虐待性头部创伤(AHT)是导致一岁以下儿童虐待致死的主要原因。头部外伤可包括颅内出血、缺氧缺血性损伤或实质撕裂伤。大多数实质撕裂伤婴儿会出现急性神经症状。已有一些关于AHT病例清醒间歇期的文献发表,但还没有关于实质撕裂伤的清醒间歇期的描述。由于神经元和大脑结构受损,实质撕裂伤通常表现为急性症状,如癫痫发作、精神状态改变或烦躁/嗜睡加重。我们介绍了一例健康的 2 个月大婴儿的病例,该婴儿最终被诊断为 AHT 和三处实质撕裂伤,在急性失代偿前的 2.5 小时内神经状态正常。
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来源期刊
CiteScore
2.70
自引率
6.70%
发文量
106
审稿时长
57 days
期刊介绍: The Journal of Forensic and Legal Medicine publishes topical articles on aspects of forensic and legal medicine. Specifically the Journal supports research that explores the medical principles of care and forensic assessment of individuals, whether adult or child, in contact with the judicial system. It is a fully peer-review hybrid journal with a broad international perspective. The Journal accepts submissions of original research, review articles, and pertinent case studies, editorials, and commentaries in relevant areas of Forensic and Legal Medicine, Context of Practice, and Education and Training. The Journal adheres to strict publication ethical guidelines, and actively supports a culture of inclusive and representative publication.
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