Jayawant Sandeep, Parr Jeremy
Department of Paediatric Neurology, John Radcliffe Hospital, Oxford, UK.
Arch Dis Child. 2007 Apr;92(4):343-7. doi: 10.1136/adc.2005.084988.
Subdural haemorrhages (SDH) are associated with significant neurodisability in affected individuals. The incidence of SDH in infants is between 12 and 25 cases per 100,000 children and most detected SDH are due to physical abuse. In the infant brain, SDH are caused by tearing of the bridging veins in the subdural space and may result in significant brain injury. The challenge of assessing outcome in infants with SDH is evaluating whether SDH or other accompanying brain insults are instrumental in the neurodevelopmental outcome.
硬膜下出血(SDH)会使受影响个体出现严重神经功能障碍。婴儿硬膜下出血的发病率为每10万名儿童中有12至25例,大多数检测到的硬膜下出血是由身体虐待所致。在婴儿脑中,硬膜下出血是由硬膜下间隙桥静脉撕裂引起的,可能导致严重脑损伤。评估硬膜下出血婴儿预后的挑战在于判断硬膜下出血或其他伴随的脑损伤是否对神经发育结局有影响。