About: Characteristics associated with spine injury on magnetic resonance imaging in children evaluated for abusive head trauma

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About: Characteristics associated with spine injury on magnetic resonance imaging in children evaluated for abusive head trauma Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	Characteristics associated with spine injury on magnetic resonance imaging in children evaluated for abusive head trauma
Creator	Zhang, Jian Bretl, Deborah Kelly, Teresa Quijano, Carla Rabbitt, Angela Yan, Ke
source	PMC
abstract	BACKGROUND: Spine injuries are increasingly common in the evaluation for abusive head trauma (AHT), but additional information is needed to explore the utility of spine MRI in AHT evaluations and to ensure an accurate understanding of injury mechanism. OBJECTIVE: To assess the incidence of spine injury on MRI in children evaluated for AHT, and to correlate spine MRI findings with clinical characteristics. MATERIALS AND METHODS: We identified children younger than 5 years who were evaluated for AHT with spine MRI. Abuse likelihood was determined a priori by expert consensus. We blindly reviewed spine MRIs and compared spinal injury, abuse likelihood, patient demographics, severity of brain injury, presence of retinal hemorrhages, and pattern of head injury between children with and without spine injury. RESULTS: Forty-five of 76 (59.2%) children had spine injury. Spine injury was associated with more severe injury (longer intensive care stays [P<0.001], lower initial mental status [P=0.01] and longer ventilation times [P=0.001]). Overall abuse likelihood and spine injury were not associated. Spinal subdural hemorrhage was the only finding associated with a combination of retinal hemorrhages (P=0.01), noncontact head injuries (P=0.008) and a diagnosis of AHT (P<0.05). Spinal subdural hemorrhage was associated with other spine injury (P=0.004) but not with intracranial hemorrhage (P=0.28). CONCLUSION: Spinal injury is seen in most children evaluated for AHT and might be clinically and forensically valuable. Spinal subdural hemorrhage might support a mechanism of severe acceleration/deceleration head injury and a diagnosis of AHT.
has issue date	2020-01-04(xsd:dateTime)
bibo:doi	10.1007/s00247-019-04517-y
bibo:pmid	31901991
has license	no-cc
sha1sum (hex)	ed6724f2bb2c8b196f80ec51560a44094efe18eb
schema:url	https://doi.org/10.1007/s00247-019-04517-y
resource representing a document's title	Characteristics associated with spine injury on magnetic resonance imaging in children evaluated for abusive head trauma
has PubMed Central identifier	PMC7223732
has PubMed identifier	31901991
schema:publication	Pediatr Radiol
resource representing a document's body	covid:ed6724f2bb2c8b196f80ec51560a44094efe18eb#body_text
is schema:about of	named entity 'pattern' named entity 'hemorrhage' named entity 'severe' named entity 'likelihood' named entity 'severe' named entity 'subdural' named entity 'spine' covid:arg/ed6724f2bb2c8b196f80ec51560a44094efe18eb named entity 'Spine' named entity 'MRI' named entity 'additional' named entity 'MRI' named entity 'diagnosis' named entity 'subdural' named entity 'spine' named entity 'MRI' named entity 'accurate' named entity 'ensure' named entity 'injury' named entity 'subdural hemorrhage' named entity 'P=0.01' named entity 'spine injury' named entity 'hemorrhages' named entity 'hemorrhages' named entity 'AHT' named entity 'P<0.05' named entity 'clinical characteristics' named entity 'abusive head trauma' named entity 'head injury' named entity 'abusive head trauma' named entity 'injury' named entity 'spine injuries' named entity 'intracranial injuries' named entity 'brain injury' named entity 'Sagittal' named entity 'hemorrhage' named entity 'spinal injury' named entity 'circular reasoning' named entity 'MRI' named entity 'edema' named entity 'sepsis' named entity 'edema' named entity 'MRI' named entity 'pediatric' named entity 'clinical characteristics' named entity 'rotational acceleration' named entity 'AHT' named entity 'pediatric' named entity 'MRI' named entity 'muscle' named entity 'hemorrhage' named entity 'fatty tissue' named entity 'intracranial hemorrhage' named entity 'AHT' named entity 'medical condition' named entity 'MRI' named entity 'AHT' named entity 'subdural space' named entity 'altered mental status' named entity 'MRI' named entity 'MR imaging' named entity 'AHT' named entity 'hemorrhage' named entity 'subdural hemorrhage' named entity 'hemorrhages' named entity 'intracranial hemorrhage' named entity 'lacerations' named entity 'concussion' named entity 'severe brain injury' named entity 'AHT' named entity 'hemorrhage' named entity 'clinical characteristics' named entity 'interhemispheric fissure' named entity 'AHT' named entity 'AHT' named entity 'altered mental status'

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