Zepp F, Brühl K, Zimmer B, Schumacher R
Department of Pediatrics, University of Mainz, Germany.
Neuropediatrics. 1992 Aug;23(4):188-91. doi: 10.1055/s-2008-1071338.
Child abuse by whiplash-shaking can lead to severe cerebral damage, neurological defects and mental retardation. Cerebral damage has been found with and without external evidence of head injury. We report the sonographic findings in two children after traumatization due to repetitive vigorous whiplash shaking. Cerebral sonography revealed cerebral edema at admission or within 48 hours thereafter. Follow-up studies demonstrated development of marked brain atrophy in both cases. The sonographic findings were confirmed by cranial computerized tomography. Doppler sonography was used to monitor cerebral perfusion by measuring intracranial blood flow. The clinical history of the patients demonstrates that cerebral sonography in combination with Doppler sonography not only serves as a diagnostic tool but also allows adjustment of therapy to the actual clinical status of the patient.
甩鞭式摇晃造成的儿童虐待可导致严重的脑损伤、神经缺陷和智力迟钝。无论有无头部受伤的外部证据，均可发现脑损伤。我们报告了两名儿童因反复剧烈甩鞭式摇晃而受伤后的超声检查结果。脑超声检查显示入院时或此后48小时内出现脑水肿。随访研究表明，两例均出现明显的脑萎缩。头颅计算机断层扫描证实了超声检查结果。多普勒超声用于通过测量颅内血流来监测脑灌注。患者的临床病史表明，脑超声检查结合多普勒超声不仅可作为诊断工具，还能根据患者的实际临床状况调整治疗方案。
