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Dating intracranial injuries in children neuroradiologically?

The following is a summary of the systematic review findings up to the date of our most recent literature search. If you have a specific clinical case, we strongly recommend you read all of the relevant references as cited and look for additional material published outside our search dates.

 

In this study1 51 of 172 radiologists surveyed replied with regard to their confidence of dating subdural haemorrhages in abusive head trauma.  The survey utilised 8 paediatric cases with CT or MRI images. The level of confidence in reporting the estimated age of these injuries from CT was 58-83% – in only 2 of 4 cases did the age estimate match with the age known of the injury. In the four cases with MRI, the level of confidence reporting the age was 63-90% – in 2 of 4 cases the estimated age was correct.

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References

  1. Postema FA, Sieswerda-Hoogendoorn T, Majoie CB, van Rijn RR. Age determination of subdural hematomas: survey among radiologists. Emergency Radiology. 2014:21(4):349-358 [Pubmed]

 

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