Four intracranial injury cases with peripapillary scleral hemorrhage— reconsidering the mechanism of hemorrhage

Highlights • Peripapillary scleral hemorrhage is reported in shaken baby syndrome cases. • The back of the head was the main impact site in cases we studied. • The hemorrhage source was arterial vessels at the Zinn-Haller arterial ring. • It is caused by optic nerve traction due to linear accelerati...

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Bibliographic Details
Published inLegal medicine (Tokyo, Japan) Vol. 27; pp. 5 - 9
Main Authors Oshima, Toru, Yoshikawa, Hiroshi, Koda, Yoshiro, Ohtani, Maki, Tsukamoto, Shoko, Mimasaka, Sohtaro
Format Journal Article
LanguageEnglish
Published Ireland Elsevier B.V 01.07.2017
Subjects
Aged
Aged, 80 and over
Autopsy
Brain Injuries, Traumatic - diagnostic imaging
Brain Injuries, Traumatic - etiology
Brain Injuries, Traumatic - pathology
Eye Hemorrhage - diagnostic imaging
Eye Hemorrhage - etiology
Eye Hemorrhage - pathology
Fatal Outcome
Female
Head Injuries, Closed - diagnostic imaging
Head Injuries, Closed - etiology
Head Injuries, Closed - pathology
Humans
Infant
Infant, Newborn
Internal Medicine
Male
Middle Aged
Scleral Diseases - diagnostic imaging
Scleral Diseases - etiology
Scleral Diseases - pathology
Tomography, X-Ray Computed
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Summary:Highlights • Peripapillary scleral hemorrhage is reported in shaken baby syndrome cases. • The back of the head was the main impact site in cases we studied. • The hemorrhage source was arterial vessels at the Zinn-Haller arterial ring. • It is caused by optic nerve traction due to linear acceleration or violent shaking. • Peripapillary scleral hemorrhage is a reliable finding of head acceleration injury.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
content type line 23
ObjectType-Report-1
ObjectType-Article-3
ISSN:1344-6223
1873-4162
DOI:10.1016/j.legalmed.2017.06.001