Pinto Fernando Campos Gomes, Porro Fabrizio Frutos, Suganuma Liliana, Fontes Ricardo Bragança de Vasconcellos, de Andrade Almir Ferreira, Marino Raul
Neurosurgery Division, Neurology and Neurosurgery Department, University of São Paulo Medical School, São Paulo, SP, Brazil.
Arq Neuropsiquiatr. 2003 Dec;61(4):1023-5. doi: 10.1590/s0004-282x2003000600026. Epub 2004 Jan 6.
Head trauma is an important consequence of child abuse. Specific pathophysiological mechanisms in child abuse are responsible for the "whiplash shaken-baby syndrome", which would favour the occurrence of intracranial hemorrhages.
We report the case of a child who developed epidural hematoma following minor-intensity head trauma. Initial diagnosis of child abuse was made, but subsequent investigation led to the diagnosis of hemophilia A.
Even though epidural hematoma is not closely associated with child abuse, this etiology must always be considered when the reported trauma mechanism is out of proportion to the magnitude of the encountered lesions.
头部创伤是虐待儿童的一个重要后果。虐待儿童中的特定病理生理机制导致了“鞭打摇晃婴儿综合征”，这会增加颅内出血的发生几率。
我们报告了一名儿童在轻度头部创伤后发生硬膜外血肿的病例。最初诊断为虐待儿童，但后续调查导致诊断为甲型血友病。
尽管硬膜外血肿与虐待儿童没有密切关联，但当报告的创伤机制与所遇到损伤的严重程度不成比例时，必须始终考虑这种病因。
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