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Unraveling the puzzle

Unraveling the puzzle Pediatr Radiol (2009) 39:199 DOI 10.1007/s00247-008-1137-x COMMENTARY Marvin D. Nelson Jr. Received: 15 December 2008 /Accepted: 22 December 2008 / Published online: 23 January 2009 Springer-Verlag 2009 This interesting article reviews the development of the Nevertheless, something must happen to the walls of cranial venous system and stresses the point that there is a these vessels to allow red blood cells to pass out of the rich plexus of intradural vessels that can rupture and cause lumen of the vessel into the subdural space. Obviously, subdural hemorrhage [1]. trauma remains the most likely and frequent cause. I have always been puzzled by the classic response that However, the presence of subdural hemorrhage does not subdural hemorrhage is the result of “tearing of the bridging tell us whether the action that caused it was accidental, and cortical veins.” Shouldn’t the bridging vein either rip off the correlation with the historical account of the injury, the pial surface of the brain or shear off at the point where the vein physical examination, and the social services evaluation is penetrates the dura? Shouldn’t this cause massive subarach- necessary before any conclusion can be made about the noid hemorrhage? Why should such a http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Pediatric Radiology Springer Journals

Unraveling the puzzle

Nelson, Marvin
Pediatric Radiology , Volume 39 (3) – Jan 23, 2009
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Unraveling the puzzle

Abstract

Pediatr Radiol (2009) 39:199 DOI 10.1007/s00247-008-1137-x COMMENTARY Marvin D. Nelson Jr. Received: 15 December 2008 /Accepted: 22 December 2008 / Published online: 23 January 2009 Springer-Verlag 2009 This interesting article reviews the development of the Nevertheless, something must happen to the walls of cranial venous system and stresses the point that there is a these vessels to allow red blood cells to pass out of the rich plexus of intradural vessels that can rupture and cause lumen...
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References (8)

Publisher
Springer Journals
Copyright
Copyright © 2009 by Springer-Verlag
Subject
Medicine & Public Health; Oncology ; Ultrasound; Nuclear Medicine ; Neuroradiology ; Pediatrics ; Imaging / Radiology
ISSN
0301-0449
eISSN
1432-1998
DOI
10.1007/s00247-008-1137-x
pmid
19165476
Publisher site
See Article on Publisher Site

Abstract

Pediatr Radiol (2009) 39:199 DOI 10.1007/s00247-008-1137-x COMMENTARY Marvin D. Nelson Jr. Received: 15 December 2008 /Accepted: 22 December 2008 / Published online: 23 January 2009 Springer-Verlag 2009 This interesting article reviews the development of the Nevertheless, something must happen to the walls of cranial venous system and stresses the point that there is a these vessels to allow red blood cells to pass out of the rich plexus of intradural vessels that can rupture and cause lumen of the vessel into the subdural space. Obviously, subdural hemorrhage [1]. trauma remains the most likely and frequent cause. I have always been puzzled by the classic response that However, the presence of subdural hemorrhage does not subdural hemorrhage is the result of “tearing of the bridging tell us whether the action that caused it was accidental, and cortical veins.” Shouldn’t the bridging vein either rip off the correlation with the historical account of the injury, the pial surface of the brain or shear off at the point where the vein physical examination, and the social services evaluation is penetrates the dura? Shouldn’t this cause massive subarach- necessary before any conclusion can be made about the noid hemorrhage? Why should such a

Journal

Pediatric Radiology – Springer Journals

Published: Jan 23, 2009

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