Article: article from journal or magazin.
Case report (case report): feedback on an observation with a short commentary.
Reversal sign on ante- and postmortem brain imaging in a newborn: report of one case.
Forensic Science International
Publication types: Case Reports ; Journal ArticlePublication Status: ppublish
A 16-day-old female newborn was admitted to the emergency department after cardiopulmonary arrest. Total-body radiographs and non-enhanced CT of the brain showed fracture of the right clavicle, pericerebral hemorrhage and brain damage with reversal sign. The infant died on the day of her hospital admission. Because child abuse was suspected, a medicolegal autopsy was ordered by the legal authorities. Prior to autopsy, total-body MRI and CT were performed. Results of the ante- and postmortem investigations were compared with each other and then with the autopsy findings. Postmortem brain imaging showed persistence of the reversal sign. To the best of our knowledge, this is the first case describing hypoxic ischemic damage of the brain parenchyma on antemortem CT and persisting on postmortem imaging in a child abuse case.
Brain/pathology, Child Abuse/diagnosis, Female, Forensic Pathology, Heart Arrest/complications, Humans, Hypoxia-Ischemia, Brain/pathology, Infant, Newborn, Intracranial Hemorrhages/pathology, Magnetic Resonance Imaging, Postmortem Changes, Tomography, X-Ray Computed
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