Please use this identifier to cite or link to this item: http://cmuir.cmu.ac.th/jspui/handle/6653943832/57666
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dc.contributor.authorSupot Puanglumyaien_US
dc.contributor.authorSuree Lekawanvijiten_US
dc.date.accessioned2018-09-05T03:47:45Z-
dc.date.available2018-09-05T03:47:45Z-
dc.date.issued2017-07-01en_US
dc.identifier.issn18726283en_US
dc.identifier.issn03790738en_US
dc.identifier.other2-s2.0-85018913282en_US
dc.identifier.other10.1016/j.forsciint.2017.04.008en_US
dc.identifier.urihttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85018913282&origin=inwarden_US
dc.identifier.urihttp://cmuir.cmu.ac.th/jspui/handle/6653943832/57666-
dc.description.abstract© 2017 Elsevier B.V. Fatal abusive head trauma is a major cause of death in children and toddlers who suffer from cruel physical abuse. Postmortem differentiation of fatal abusive head trauma from accidental head trauma can be a complicated process. This consecutive case series study aimed to determine the role of subdural optic nerve sheath hemorrhage (ONSH) in 70 autopsy cases of children ≤3 years old in making this differentiation. The study took place over a 13 year period (between August 1st 2003 and July 31st 2016) at a tertiary hospital in Thailand. Eleven cases were diagnosed with fatal abusive head trauma and 10 were identified as being accidental closed head trauma cases. Bilateral retinal hemorrhage was noted in antemortem medical records in every hospitalized abusive head trauma case (n = 10). Upon autopsy, ONSH was observed in all 11 fatal cases of abusive head trauma (bilateral = 10 and unilateral = 1) but not in any cases of accidental head trauma (0/5). Subdural hemorrhage was found in 10 out of 11 abusive head trauma victims but not in any of the 10 with accidental head trauma. Other postmortem findings in abusive head trauma included subarachnoid hemorrhage (5/11), marked brain swelling (3/11), skull fracture (4/11) and brain contusion (1/11). This study suggests that ONSH, together with subdural hemorrhage, plays an essential role in an accurate postmortem diagnosis of fatal abusive head trauma. Therefore, an ocular investigation should be performed in all autopsy cases where child abuse is suspected and where there is no reliable history/witnesses, confession or antemortem ophthalmologic examination.en_US
dc.subjectMedicineen_US
dc.titleThe importance of optic nerve sheath hemorrhage as a postmortem finding in cases of fatal abusive head trauma: A 13-year study in a tertiary hospitalen_US
dc.typeJournalen_US
article.title.sourcetitleForensic Science Internationalen_US
article.volume276en_US
article.stream.affiliationsChonburi Regional Hospitalen_US
article.stream.affiliationsChiang Mai Universityen_US
Appears in Collections:CMUL: Journal Articles

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