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Thrombosis is not a marker of bridging vein rupture in infants with alleged abusive head trauma

AIM: Thrombosis of bridging veins has been suggested to be a marker of bridging vein rupture, and thus AHT, in infants with subdural haematoma. METHODS: This is a non‐systematic review based on Pubmed search, secondary reference tracking and authors’ own article collections. RESULTS: Radiological st...

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Autores principales: Zahl, Sverre Morten, Mack, Julie A., Rossant, Cyrille, Squier, Waney, Wester, Knut
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8519117/
https://www.ncbi.nlm.nih.gov/pubmed/33964045
http://dx.doi.org/10.1111/apa.15908
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author Zahl, Sverre Morten
Mack, Julie A.
Rossant, Cyrille
Squier, Waney
Wester, Knut
author_facet Zahl, Sverre Morten
Mack, Julie A.
Rossant, Cyrille
Squier, Waney
Wester, Knut
author_sort Zahl, Sverre Morten
collection PubMed
description AIM: Thrombosis of bridging veins has been suggested to be a marker of bridging vein rupture, and thus AHT, in infants with subdural haematoma. METHODS: This is a non‐systematic review based on Pubmed search, secondary reference tracking and authors’ own article collections. RESULTS: Radiological studies asserting that imaging signs of cortical vein thrombosis were indicative of traumatic bridging vein rupture were unreliable as they lacked pathological verification of either thrombosis or rupture, and paid little regard to medical conditions other than trauma. Autopsy attempts at confirmation of ruptured bridging veins as the origin of SDH were fraught with difficulty. Moreover, microscopic anatomy demonstrated alternative non‐traumatic sources of a clot in or around bridging veins. Objective pathological observations did not support the hypothesis that a radiological finding of bridging vein thrombosis was the result of traumatic rupture by AHT. No biomechanical models have produced reliable and reproducible data to demonstrate that shaking alone can be a cause of bridging vein rupture. CONCLUSION: There is no conclusive evidence supporting the hypothesis that diagnostic imaging showing thrombosed bridging veins in infants correlates with bridging vein rupture. Hence, there is no literature support for the use of thrombosis as a marker for AHT.
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spelling pubmed-85191172021-10-22 Thrombosis is not a marker of bridging vein rupture in infants with alleged abusive head trauma Zahl, Sverre Morten Mack, Julie A. Rossant, Cyrille Squier, Waney Wester, Knut Acta Paediatr Review Articles AIM: Thrombosis of bridging veins has been suggested to be a marker of bridging vein rupture, and thus AHT, in infants with subdural haematoma. METHODS: This is a non‐systematic review based on Pubmed search, secondary reference tracking and authors’ own article collections. RESULTS: Radiological studies asserting that imaging signs of cortical vein thrombosis were indicative of traumatic bridging vein rupture were unreliable as they lacked pathological verification of either thrombosis or rupture, and paid little regard to medical conditions other than trauma. Autopsy attempts at confirmation of ruptured bridging veins as the origin of SDH were fraught with difficulty. Moreover, microscopic anatomy demonstrated alternative non‐traumatic sources of a clot in or around bridging veins. Objective pathological observations did not support the hypothesis that a radiological finding of bridging vein thrombosis was the result of traumatic rupture by AHT. No biomechanical models have produced reliable and reproducible data to demonstrate that shaking alone can be a cause of bridging vein rupture. CONCLUSION: There is no conclusive evidence supporting the hypothesis that diagnostic imaging showing thrombosed bridging veins in infants correlates with bridging vein rupture. Hence, there is no literature support for the use of thrombosis as a marker for AHT. John Wiley and Sons Inc. 2021-05-20 2021-10 /pmc/articles/PMC8519117/ /pubmed/33964045 http://dx.doi.org/10.1111/apa.15908 Text en © 2021 The Authors. Acta Paediatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Review Articles
Zahl, Sverre Morten
Mack, Julie A.
Rossant, Cyrille
Squier, Waney
Wester, Knut
Thrombosis is not a marker of bridging vein rupture in infants with alleged abusive head trauma
title Thrombosis is not a marker of bridging vein rupture in infants with alleged abusive head trauma
title_full Thrombosis is not a marker of bridging vein rupture in infants with alleged abusive head trauma
title_fullStr Thrombosis is not a marker of bridging vein rupture in infants with alleged abusive head trauma
title_full_unstemmed Thrombosis is not a marker of bridging vein rupture in infants with alleged abusive head trauma
title_short Thrombosis is not a marker of bridging vein rupture in infants with alleged abusive head trauma
title_sort thrombosis is not a marker of bridging vein rupture in infants with alleged abusive head trauma
topic Review Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8519117/
https://www.ncbi.nlm.nih.gov/pubmed/33964045
http://dx.doi.org/10.1111/apa.15908
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