ArticleAJNR. American journal of neuroradiology2006
Subdural hematomas in infants with benign enlargement of the subarachnoid spaces are not pathognomonic for child abuse.
Article in AJNR. American journal of neuroradiology, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 3 of them syntheses that pooled it.
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Who cites it
49 citing papers in PubMed, 3 syntheses or guidelines pooled it, 97 citations in OpenAlex.
- Subarachnoid space in infancy and early childhood: a systematic review of measurements.Pediatric radiology · 2026Pooled it
- Traumatic shaking: The role of the triad in medical investigations of suspected traumatic shaking.Acta paediatrica (Oslo, Norway : 1992) · 2018Pooled it
- Subdural hematomas: glutaric aciduria type 1 or abusive head trauma? A systematic review.Forensic science, medicine, and pathology · 2015Pooled it
- Non-traumatic bilateral subdural hematoma in a 1-year-old child with optic glioma: a rare case report and literature review.Annals of medicine and surgery (2012) · 2026Article
- Situs Inversus Totalis and Severe Early-Onset Developmental Epileptic Encephalopathy in a Child With a Homozygous CFAP52 Mutation: A Case Report.Clinical case reports · 2026Article
- Reference Trajectories of Extra-Axial Cerebrospinal Fluid during Childhood and Adolescence Defined in a Clinically Acquired MRI Dataset.Radiology. Artificial intelligence · 2026Article
- Pathophysiological hypotheses of the triad in abusive infant shaking: A systematic review and analysis of corroborated cases.Forensic science international. Synergy · 2025Article
- Acute ventriculomegaly and gaze deviation after evacuation of subdural hematoma: report of an unusual case.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025Article
- Continuous Intracranial Pressure Monitoring in Children with 'Benign' External Hydrocephalus.Journal of clinical medicine · 2025Article
- Association between subarachnoid space depth and neurosurgical intervention during conservative observation in children with minor subdural hematoma: a retrospective cohort study.Neurosurgical review · 2025Article
- The prevalence of subdural blood products in extremely premature infants with no history of abusive head trauma, studied by magnetic resonance imaging around term-equivalent age.Pediatric radiology · 2024Article
- Prospective measurement of the width of cerebrospinal fluid spaces by cranial ultrasound in neurologically healthy children aged 0-19 months.BMC pediatrics · 2024Article
- Repetitive mild traumatic brain injuries in children of abuse.Annals of the Child Neurology Society · 2023Article
- Benign enlargement of the subarachnoid spaces and subdural collections-when to evaluate for abuse.Pediatric radiology · 2023Article
- Neuroradiological findings in children with subdural hematoma and suspected abusive head trauma.Annals of the Child Neurology Society · 2023Article
- Transcranial optical monitoring for detecting intracranial pressure alterations in children with benign external hydrocephalus: a proof-of-concept study.Neurophotonics · 2022Article
- Diagnosis of Abusive Head Trauma : Neurosurgical Perspective.Journal of Korean Neurosurgical Society · 2022Article
- Is external hydrocephalus a possible differential diagnosis when child abuse is suspected?Acta neurochirurgica · 2022Article
- Chronic subdural hemorrhage predisposes to development of cerebral venous thrombosis and associated retinal hemorrhages and subdural rebleeds in infants.The neuroradiology journal · 2022Article
- Thrombosis is not a marker of bridging vein rupture in infants with alleged abusive head trauma.Acta paediatrica (Oslo, Norway : 1992) · 2021Review
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposePatients who have benign enlargement of the subarachnoid spaces (BESS) have long been suspected of having an increased propensity for subdural hematomas either spontaneously or as a result of accidental injury. Subdural hematomas in infants are often equated with nonaccidental trauma (NAT). A better understanding of the clinical and imaging characteristics of subdural hematomas that occur either spontaneously or as a result of accidental trauma may help distinguish this group of patients from those who suffer subdural hematomas as a result of NAT. The purpose of this study is to describe the clinical and imaging characteristics of subdural hematomas that occur either spontaneously or as a result of accidental injury in infants with BESS.
methodsWe conducted a retrospective review of all patients with BESS complicated by subdural hematomas evaluated at a single institution from 1998 to 2004. Data concerning the patient's clinical presentation, physical findings, imaging, and management are described.
resultsDuring the study period, 7 patients with BESS complicated by subdural hematoma were identified. Their mean age at identification of the subdural hematoma was 7.4 months of age. In 5 cases, there was no recognized trauma before identification of the subdural hematoma. In 3 cases, baseline CT or MR imaging was available, showing prominent subarachnoid spaces without any evidence of subdural hemorrhage.
conclusionAlthough suspicious for NAT, subdural hematomas can occur in children either spontaneously or as a result of accidental trauma. Caution must be exercised when investigating for NAT based on the sole presence of subdural hematomas, especially in children who are otherwise well and who have BESS.
Indexed as
Identifiers
16971622PMC8139783W1867508819What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.