An infant with subdural hematoma and retinal hemorrhages: does von Willebrand disease explain the findings?
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Arne Stray-Pedersen Sigrid Omland Ba°rd Nedregaard Sjur Klevberg Torleiv Ole Rognum
- چاپ و سال / کشور: 2011
Description
An 11-month-old girl presented to hospital with a massive subdural haematoma and bilateral retinal haemorrhages following an allegedly minor fall. There were no external signs of bruising and no prior bleeding tendency was reported. Although initial analyses were normal, repeated testing of the coagulation-fibrinolysis system led to a diagnosis of mild von Willebrand disease (vWD) Type 1. It was concluded that minor head trauma as described by the parents, in the presence of such a coagulation disorder, could explain the findings. Police charges against the parents, initially accused of child abuse, were withdrawn. Retinal haemorrhages in infants with vWD have not been previously reported. This case highlights the importance of considering vWD as a possible contributory factor in cases of infant head injury.
Forensic Sci Med Pathol (2011) 7:37–41 DOI 10.1007/s12024-010-9176-7 Accepted: 12 June 2010 / Published online: 1 July 2010
