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

Ocular findings are present in approximately 70% of deaths due to child abuse [1]. Peripapillary scleral hemorrhage was first mentioned in 1990 as a scleral hemorrhage surrounding the optic nerves in abusive head trauma cases [1]. Peripapillary scleral hemorrhage is believed to be an important finding suggesting shaken baby syndrome [2 –4]. However, it was recently reported that peripapillary scleral hemorrhage was found in accidental head trauma cases [5,6]. Herein, we report four intracranial injury cases in which peripapillary scleral hemorrhage was found, and discuss the potential mechanisms involved.
Source: Legal Medicine - Category: Forensic Medicine Authors: Tags: Case Report Source Type: research