Child Abuse
Most of these cases have a high likelihood of being secondary to inflicted injury. Where cases reached court and the legal outcomes are known, the verdicts and sentences are included. Hopefully this collection will spur others to submit. The intention is to develop a large North American and international collection. Obviously the patient’s names and the doctors will be kept confidential. The most valuable cases will be those where the outcomes post evaluation by social service, child advocacy and SCAN teams and especially those which reached the legal system. Although we know the legal system, is not foolproof, it is as close as we can get with respect to whether inflicted injury has occurred. Those found innocent by the legal system are critically important as not all cases initially suspected, are found guilty by the legal system. Additionally those who have dealt with the legal system as expert witness for the prosecution and the defense, realize that legal decisions do not always equal truth, however this is an effort to show what agrees with legal precedent, which is the closest method that we have to differentiate guilt and innocence. I think we can make a difference especially if we encourage contributors to present defense cases, also, because we know that convictions, plea bargaining, and confessions are not reliable sources for evidence-based or scientific determinations of NAI vs. AI. We must also keep an open mind and look at both (all) sides of these cases. We must be aware of the mimics of CNS and skeletal injury especially since more mimics than we previously realized must be considered.
If you have cases please consider sharing. You can either submit them, which is really easy. If anyone needs help with the process there is a . When informed about new cases and their numbers I will add them to the collections. Mimics of child abuse will also be collected (see the next folder).
We should always remember “Individual Rights. Due Process of Law. A person is presumed innocent until proven guilty. Item quilibet presumitur innocens nisi probetur nocens.” Johannes Monachus, French cardinal and canonist, died in 1313 A.D. Digestum, Infortiatum, Vat. Palatina 742, fol. 109r
http://faculty.cua.edu/Pennington/EvolutionNorms/InnocentGuilty.htm
Contains 18 Cases :
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TRAUMATIC DISRUPTION OF THE TORCULUM Case 2687, Cranium and Contents > Trauma , male, 4 CT images . By Mark Halsted , Radiologist, Cincinnati Children's Hospital Medical Center, Ohio, USA, 07/22/2007.
CASE 811483 Skeletal System > Trauma , 1 month old male, 2 Conventional Radiograph images .History: 1 month old male, referred from outside facility w... Diagnosis: Bucket handle (metaphyseal) fracture, pr... Keywords: non accidental trauma. By Stephen Christian , Radiologist, Baptist Health System Hospitals Birmingham, Alabama, USA, 07/22/2007.2 ratings
PNEUMOPERITONEUM IN NON-ACCIDENTAL TRAUMA Case 157056, Gastrointestinal (GI) > Trauma , 1 year 4 month old female, 2 Conventional Radiograph images . History: Post-mortem radiographs of the abdomen. Diagnosis: Pneumoperitoneum secondary to non-accide... Keywords: pneumoperitoneum non-accidental trauma. By Safwan Halabi , Radiologist, Henry Ford Health System, Michigan, USA, 07/22/2007.2 ratings
070313 SUDDEN NEONATAL DEATH WITH BRAIN PROFOUND HYPOXIA AND RENAL CORTICAL NECROSIS Case 8441416, Cranium and Contents > Vascular , 3 week old male, 10 images (CT, Conventional Radiograph, Photograph) . History: Sudden death (unknown etiology).Post cardio p... Diagnosis: Sudden neonatal death with brain pr... By pedrad CSH , Radiologist, Chung Shan Medical University Hospital, Taiwan, 07/22/2007.2 ratings
NON ACCIDENTAL TRAUMA Case 7882606, Skeletal System > Trauma , 22 month old female, 4 images (CT, MR) . History: 22 month old with new onset seizures. Routine lab... Diagnosis: Nonaccidental trauma. Keywords: nonaccidental trauma. By Faculty and residents Children's Hospital , Radiologist, Children's Health System, Birmingham, Alabama., USA, 07/22/2007.
SHAKEN BABY SYNDROME Case 4652, Cranium and Contents > Trauma , male, 7 images (MR, Nuc Med) . Keywords: trauma, abuse, macrocranium, hematoma, s... By Corning Benton , Radiologist, Cincinnati Children's Hospital Medical Center, Ohio, USA, 07/22/2007.2 ratings
CHEST Case 27556, Chest > Trauma , 8 month old female, 1 Conventional Radiograph image . History: 8 month old female with abdominal distention. Diagnosis: Free intraperitoneal air secondary to du... Keywords: child abuse. By Bruce Kelly , Radiology Technologist, Evans Army Community Hospital MEDDAC, Colorado, USA, 07/22/2007.1 rating
SUBDURAL HEMATOMA IN CHILD ABUSE Case 2940251, Cranium and Contents > Trauma , 23 day old female, 3 images (CT, US) . History: 23 days old, female, history: mother 17 years old,... Diagnosis: Subdural Hematoma secondary to child abu... Keywords: subdural hematoma, child abuse. By Rolando Reyna , Radiologist, Hospital Santo Tomas, Panama, 07/22/2007.
NON-ACCIDENTAL TRAUMA Case 3592169, Cranium and Contents > Trauma , 3 month old male, 3 CT images . History: Patient brought to ED with decreasing level of con... Diagnosis: Non-Accidental Trauma. Keywords: nonaccidental trauma;child abuse;battere... By Brenda Grabb , Radiologist, Radiology and Imaging Consultants, Colorado Springs, Colorado, USA, 07/22/2007.1 rating
SEVERE HYPOXIC ISCHEMIC INJURY. NO HISTORY OF TRAUMA. CONSTELLATION OF FINDINGS SUPPORT INFLICTED HEAD INJURY WITH SCIWORA Case 7798181, Cranium and Contents > Trauma , 1 year old female, 18 images (CT, Conventional Radiograph, Photograph, MR, Nuc Med, Angiography) . History: 1 year old female who presented with respirat... Diagnosis: Non Accidental Head Injury (NAHI)Spinal ... Keywords: brain death shaken baby hie sciwora tc... By Dr Phillip Silberberg, Children's Hospital Omaha , Radiologist, Omaha Childrens, Creighton University and UNMC, Nebraska, USA, 04/24/2008.2 ratings
BRAIN DEATH, RETINAL HEMORRHAGES AND MULTIPLE RIB FRACTURES-- ABUSE SUSPECTED Case 5446592, Cranium and Contents > Trauma , 1 year old patient, 3 images (Photograph, Nuc Med) . History: Presented with apnea. Diagnosis: Inflicted head injury, brain death, also... Keywords: brain death - nuclear medicine brain stu... By Dr Phillip Silberberg, Children's Hospital Omaha , Radiologist, Omaha Childrens, Creighton University and UNMC, Nebraska, USA, 09/02/2008.
INFLICTED HEAD INJURY. BRAIN DEATH TC 99M HMPAO BRAIN SCAN Case 851728, Cranium and Contents > Trauma , 1 Nuc Med image . History: Comatose infant with no brain stem responsiveness... Diagnosis: Brain Death on TC 99m HMPAO Brain Scan. Keywords: brain death tc 99m hmpao brain scan inf... By Dr Phillip Silberberg, Children's Hospital Omaha , Radiologist, Omaha Childrens, Creighton University and UNMC, Nebraska, USA, 07/22/2007.1 rating
INFLICTED HEAD INJURY ---GUILTY VERDICT IN COURT. SENTENCE NOT AVAILABLE Case 5446585, Cranium and Contents > Trauma , 1 MR image . History: Presented with apnea with no history of trauma. Keywords: inflicted brain injury laminar necrosis... By Dr Phillip Silberberg, Children's Hospital Omaha , Radiologist, Omaha Childrens, Creighton University and UNMC, Nebraska, USA, 09/30/2007.
SHEAR BRAIN INJURY DUE TO MVA--- THESE FINDINGS ARE SEEN IN BOTH ACCIDENTAL AND NON-ACCIDENTAL INJURY Case 867514, Cranium and Contents > Trauma , 3 year old patient, 4 images (CT, MR) . History: 3 year old in a MVA. Diagnosis: SHEAR BRAIN INJURY due to MVA with high ... Keywords: shear brain injury mva inflicted accid... By Dr Phillip Silberberg, Children's Hospital Omaha , Radiologist, Omaha Childrens, Creighton University and UNMC, Nebraska, USA, 07/29/2007.3 ratings
HYPOXIC ISCHEMIC ENCEPHALOPATHY. POLYCYTHEMIA CONTRIBUTES TO WHITE MATTER INJURY AND ALSO SIMULATED A SDH AND OR VENOUS SINUS THROMBOSIS. PATIENT HAD TETRALOGY OF FALLOT (UNTREATED AT 17 MONTHS OF AGE) Case 7716188, Cranium and Contents > Hematological , 1 year 5 month old male, 18 images (CT, MR) . History: Patient with untreated Tetralogy at 17 months of a... Diagnosis: HYPOXIC ISCHEMIC ENCEPHALOPATHY in Patie... Keywords: hypoxic ischemic encephalopathy, stroke,... By Dr Phillip Silberberg, Children's Hospital Omaha , Radiologist, Omaha Childrens, Creighton University and UNMC, Nebraska, USA, 11/21/2007.1 rating
INFLICTED HEAD INJURY Case 573885, Cranium and Contents > Trauma , 37 day old male, 10 images (CT, MR) . History: 37 day old infant presented to ER with one day his... Diagnosis: 1. Bilateral intraventricular hemorrhage... Keywords: inflicted head injury intraventricular h... By Dr Phillip Silberberg, Children's Hospital Omaha , Radiologist, Omaha Childrens, Creighton University and UNMC, Nebraska, USA, 07/22/2007.1 rating
RIB FRACTURES - PROVEN CHILD ABUSE Case 5446625, Skeletal System > Trauma , 3 images . Diagnosis: Posterior rib fracture. Keywords: rib fractures - proven child abuse. By Dr Phillip Silberberg, Children's Hospital Omaha , Radiologist, Omaha Childrens, Creighton University and UNMC, Nebraska, USA, 09/02/2008.
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