@article{ref1,
title="Prevalence of cerebral sinovenous thrombosis in abusive head trauma",
journal="Pediatric radiology",
year="2022",
author="Burtard, Colt and Panks, Jessica and Silverman, Ligia Batista and Lindberg, Daniel M. and Stence, Nicholas V. and Neuberger, Ilana and Maloney, John and White, Christina and Mirsky, David M.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: Cerebral sinovenous thrombosis (CSVT) has been proposed in legal settings to be an atraumatic mimic of abusive head trauma (AHT). <br><br>OBJECTIVE: The objective of this study was to determine the prevalence of CSVT and subdural hemorrhage (SDH) in a large AHT population. <br><br>MATERIALS AND METHODS: This retrospective cohort study measured the prevalence of CSVT and SDH on magnetic resonance venograms in 243 patients diagnosed with AHT at a single center. We also reported additional intra- and extracranial injuries, head injury severity and length of hospital stay. <br><br>RESULTS: Among 243 patients diagnosed with AHT, 7% (16/243) had CSVT. SDH was present in 94% (15/16) of the CSVT cases. Cytotoxic edema and subarachnoid hemorrhage were in 88% (14/16) and 69% (11/16) of the CSVT cases, respectively. Extracranial signs of abuse were also in 100% (16/16) of the patients with CSVT. Critical to maximal head injury severity (abbreviated injury scale >=5) was in 75% (12/16) of the CSVT population vs. 33% (82/243) in the total AHT population. Length of hospital and pediatric intensive care unit stay was greater in those with CSVT (10 vs. 21.9 and 3.5 vs. 7.3 days). <br><br>CONCLUSION: These findings suggest that CSVT is uncommon in AHT and is associated with additional traumatic injuries and greater injury severity.<p /> <p>Language: en</p>",
language="en",
issn="0301-0449",
doi="10.1007/s00247-022-05462-z",
url="http://dx.doi.org/10.1007/s00247-022-05462-z"
}