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Published on: August 30, 2020
Intracranial vertebral artery dissection with subarachnoid hemorrhage following child abuse
Pamela H Nguyen1, Delilah M Burrowes, Saad Ali
1Department of Radiology, Feinberg School of Medicine of Northwestern University, Chicago, IL, USA.
Insights
Child abuse can cause rare intracranial vertebral artery dissection and subarachnoid hemorrhage (SAH) in infants. Physicians should consider child abuse with these specific injury patterns.
Area of Science:
- Pediatric Medicine
- Neurology
- Forensic Medicine
Background:
- Child abuse is a significant concern in pediatrics, often identified through specific injury patterns.
- Intracranial vertebral artery dissection and subarachnoid hemorrhage are serious, though less common, manifestations.
Observation:
- A rare case of intracranial vertebral artery dissection with subarachnoid hemorrhage (SAH) in a 3-month-old infant is presented.
- The injury occurred in the context of confirmed child abuse.
Findings:
- The study details the specific injury mechanisms, clinical presentation, and imaging findings associated with this rare presentation of abuse.
- This pattern of injury is infrequently reported in child abuse literature.
Implications:
- Highlights the importance of considering child abuse in infants presenting with intracranial vertebral artery dissection and SAH.
- Aims to increase physician awareness and diagnostic vigilance for non-accidental trauma presenting with these neurological findings.
Abstract:
Child abuse is often suspected based on particular patterns of injury. We report a case of intracranial vertebral artery dissection with subarachnoid hemorrhage (SAH) in a 3-month-old boy following child abuse. The mechanisms of injury and the clinical and imaging findings are discussed. This particular pattern of injury has rarely been reported in association with child abuse. We hope to raise physician awareness of child abuse when faced with these imaging findings.
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