دورية أكاديمية
أعرض في EDS

Undetected traumatic diastasis of cranial sutures: a case of child abuse.

التفاصيل البيبلوغرافية
العنوان: Undetected traumatic diastasis of cranial sutures: a case of child abuse.
المؤلفون: Campobasso CP; Dipartimento di Medicina Sperimentale, Università degli Studi della Campania 'Luigi Vanvitelli', via Santa Maria di Costantinopoli 16, 80138, Naples, Italy; Dipartimento di Medicina e Scienze della Salute 'Vincenzo Tiberio', Università degli Studi del Molise, Via F. De Sanctis 1, 86100, Campobasso, Italy. Electronic address: carlopietro.campobasso@unicampania.it., De Micco F; Dipartimento di Medicina e Scienze della Salute 'Vincenzo Tiberio', Università degli Studi del Molise, Via F. De Sanctis 1, 86100, Campobasso, Italy. Electronic address: f.demicco@studenti.unimol.it., Bugelli V; Dipartimento di Medicina e Scienze della Salute 'Vincenzo Tiberio', Università degli Studi del Molise, Via F. De Sanctis 1, 86100, Campobasso, Italy. Electronic address: vale.buge@gmail.com., Cavezza A; Dipartimento di Medicina Sperimentale, Università degli Studi della Campania 'Luigi Vanvitelli', via Santa Maria di Costantinopoli 16, 80138, Naples, Italy. Electronic address: antoniocavezza@gmail.com., Rodriguez WC 3rd; Office of the Chief Medical Examiner, Baltimore, USA. Electronic address: william.c.rodriguez1.civ@mail.mil., Della Pietra B; Dipartimento di Medicina Sperimentale, Università degli Studi della Campania 'Luigi Vanvitelli', via Santa Maria di Costantinopoli 16, 80138, Naples, Italy. Electronic address: bruno.dellapietra@unicampania.it.
المصدر: Forensic science international [Forensic Sci Int] 2019 May; Vol. 298, pp. 307-311. Date of Electronic Publication: 2019 Mar 14.
نوع المنشور: Case Reports; Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Science Ireland Country of Publication: Ireland NLM ID: 7902034 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1872-6283 (Electronic) Linking ISSN: 03790738 NLM ISO Abbreviation: Forensic Sci Int Subsets: MEDLINE
أسماء مطبوعة: Publication: Limerick : Elsevier Science Ireland
Original Publication: Lausanne, Elsevier Sequoia.
مواضيع طبية MeSH: Homicide*, Cranial Sutures/*injuries , Craniocerebral Trauma/*complications , Diastasis, Bone/*pathology , Skull Fractures/*pathology, Child ; Child Abuse ; Cranial Sutures/pathology ; Craniocerebral Trauma/diagnosis ; Diastasis, Bone/etiology ; Humans ; Male ; Skull Fractures/etiology
مستخلص: Traumatic diastasis of cranial sutures is a type of bone fracture more common in children than in adults, but little attention has been paid to this skull damage. Differentiation between inflicted and accidental traumatic head injury is still a challenge in forensic pathology, particularly in pediatric population. In fact, diastasis of cranial sutures may occur with or without other skull fractures and may be the only evidence of an abusive head trauma (AHT). This is a case study dealing with undetected traumatic diastasis of cranial sutures in child abuse. The skeletonized juvenile remains were found inside a suitcase. A diastasis of the coronal and sagittal sutures was the only finding recorded at the autopsy with no other relevant bone defects. The diastasis was originally attributed by the medical examiner to a physiological unfused stage of the calvarial bones. Therefore, the cause of death was undetermined. Twelve years later an anthropological revision of the cold case showed that diastasis of the coronal and sagittal sutures was assessed as the evidence of an AHT. Analysis of skull fractures in child abuse can be challenging as normal skull suture variants mimicking intentional injury are reported. Diastasis of the cranial sutures can be also a post-mortem effect of burning or freezing. Therefore, a differential diagnosis between natural, accidental or inflicted skull defects is mandatory in death investigation. A multidisciplinary approach in such circumstances is strongly recommended in order to reduce the risk of misdiagnosis.
(Copyright © 2019 Elsevier B.V. All rights reserved.)
التعليقات: Comment in: Forensic Sci Int. 2019 Nov;304:109954. (PMID: 31561175)
فهرسة مساهمة: Keywords: Abusive head trauma; Child abuse; Cranial sutures diastasis; Forensic anthropology; Post-mortem changes; Skull fractures
تواريخ الأحداث: Date Created: 20190330 Date Completed: 20190529 Latest Revision: 20190529
رمز التحديث: 20240628
DOI: 10.1016/j.forsciint.2019.03.011
PMID: 30925349
قاعدة البيانات: MEDLINE
الوصف
تدمد:1872-6283
DOI:10.1016/j.forsciint.2019.03.011