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摇晃婴儿综合征及其他形式的婴儿非意外性头部损伤中的眼部病理学

Ocular pathology in shaken baby syndrome and other forms of infantile non-accidental head injury.

作者信息

Matschke Jakob, Püschel Klaus, Glatzel Markus

机构信息

Forensic Neuropathology, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.

出版信息

Int J Legal Med. 2009 May;123(3):189-97. doi: 10.1007/s00414-008-0293-8. Epub 2008 Oct 21.

DOI:10.1007/s00414-008-0293-8
PMID:18936952
Abstract

Retinal and optic nerve sheath hemorrhages are an essential part of the various forms of inflicted neurotrauma in infants, especially in its most common variant, the shaken baby syndrome (SBS). Clinically, ophthalmologists play an important part for the diagnosis and further management of patients with SBS. For the forensic pathologist, a thorough understanding of the basic principles behind the morphological phenomena commonly encountered in the orbita is required. This review summarizes the present knowledge of ocular pathology in inflicted infantile neurotrauma, focusing strongly on SBS. Furthermore, a review of the most recent literature on the subject is given.

摘要

视网膜和视神经鞘出血是婴儿各种形式的创伤性神经损伤的重要组成部分,尤其是在其最常见的变体——摇晃婴儿综合征(SBS)中。临床上,眼科医生在SBS患者的诊断和进一步治疗中起着重要作用。对于法医病理学家来说,需要深入了解眼眶中常见形态学现象背后的基本原理。本综述总结了目前关于婴儿创伤性神经损伤眼部病理学的知识,重点关注SBS。此外,还对该主题的最新文献进行了综述。

相似文献

1
Ocular pathology in shaken baby syndrome and other forms of infantile non-accidental head injury.摇晃婴儿综合征及其他形式的婴儿非意外性头部损伤中的眼部病理学
Int J Legal Med. 2009 May;123(3):189-97. doi: 10.1007/s00414-008-0293-8. Epub 2008 Oct 21.
2
Postmortem orbital findings in shaken baby syndrome.摇晃婴儿综合征的尸检眼眶发现。
Am J Ophthalmol. 2006 Aug;142(2):233-40. doi: 10.1016/j.ajo.2006.03.038.
3
Optic nerve sheath and retinal hemorrhages associated with the shaken baby syndrome.
Arch Ophthalmol. 1986 Oct;104(10):1509-12. doi: 10.1001/archopht.1986.01050220103037.
4
Ocular and optic nerve hemorrhages in abused infants with intracranial injuries.患有颅内损伤的受虐婴儿的眼部和视神经出血。
Ophthalmology. 1994 Mar;101(3):559-65. doi: 10.1016/s0161-6420(94)31300-5.
5
Findings in older children with abusive head injury: does shaken-child syndrome exist?大龄儿童虐待性头部损伤的研究结果:摇晃婴儿综合征是否存在?
Pediatrics. 2006 May;117(5):e1039-44. doi: 10.1542/peds.2005-0811.
6
Abusive head injuries in infants and young children.婴幼儿虐待性头部损伤
Leg Med (Tokyo). 2007 Mar;9(2):83-7. doi: 10.1016/j.legalmed.2006.11.017. Epub 2007 Feb 2.
7
Pathology of retinal hemorrhage in abusive head trauma.虐待性头部外伤所致视网膜出血的病理学
Forensic Sci Med Pathol. 2009 Dec;5(4):291-7. doi: 10.1007/s12024-009-9134-4. Epub 2009 Dec 19.
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The "Shaken Baby" syndrome: pathology and mechanisms.摇晃婴儿综合征:病理与机制。
Acta Neuropathol. 2011 Nov;122(5):519-42. doi: 10.1007/s00401-011-0875-2. Epub 2011 Sep 24.
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Inflicted childhood neurotrauma (shaken baby syndrome): ophthalmic findings.
J Pediatr Ophthalmol Strabismus. 2004 Mar-Apr;41(2):80-8; quiz 105-6. doi: 10.3928/0191-3913-20040301-07.
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Retinal hemorrhage in abusive head trauma.虐待性头部外伤致视网膜出血。
Pediatrics. 2010 Nov;126(5):961-70. doi: 10.1542/peds.2010-1220. Epub 2010 Oct 4.

引用本文的文献

1
Rapid Amplification of Cerebrospinal Fluid Pressure as a Possible Mechanism for Optic Nerve Sheath Bleeding in Infants With Nonaccidental Head Injury.快速增加的脑脊液压力可能是导致非外伤性头部损伤婴儿视神经鞘出血的机制。
Invest Ophthalmol Vis Sci. 2024 Oct 1;65(12):9. doi: 10.1167/iovs.65.12.9.
2
Child Abuse and the Eye in an African Population.非洲人群中的虐待儿童与眼部问题
Korean J Ophthalmol. 2017 Apr;31(2):143-150. doi: 10.3341/kjo.2017.31.2.143. Epub 2017 Mar 21.
3
Children and youth with 'unspecified injury to the head': implications for traumatic brain injury research and surveillance.

本文引用的文献

1
Multiple fractures in the long bones of infants suffering from chronic subdural hematoma.患有慢性硬膜下血肿的婴儿长骨多处骨折。
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2
Influence of the benign enlargement of the subarachnoid space on the bridging veins strain during a shaking event: a finite element study.蛛网膜下腔良性扩大对摇晃事件中桥静脉应变的影响:一项有限元研究
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3
Retinal hemorrhages in patients with epidural hematomas.
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Rupture of Descemet's membrane secondary to presumed non-accidental injury.推测为非意外损伤继发的后弹力层破裂。
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Encephalopathy and death in infants with abusive head trauma is due to hypoxic-ischemic injury following local brain trauma to vital brainstem centers.虐待性头部创伤婴儿的脑病和死亡是由于对重要脑干中枢的局部脑损伤后发生的缺氧缺血性损伤所致。
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Retinal hemorrhage in abusive head trauma: finding a common language.虐待性头部创伤中的视网膜出血:寻找共同语言。
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8
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Int J Legal Med. 2011 Nov;125(6):857-61. doi: 10.1007/s00414-011-0613-2. Epub 2011 Sep 8.
硬膜外血肿患者的视网膜出血。
J AAPOS. 2008 Apr;12(2):177-80. doi: 10.1016/j.jaapos.2007.07.009. Epub 2008 Feb 7.
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Shaken baby syndrome: the quest for evidence.摇晃婴儿综合征:对证据的探寻。
Dev Med Child Neurol. 2008 Jan;50(1):10-4. doi: 10.1111/j.1469-8749.2007.02004.x.
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Shaken baby syndrome: the quest for evidence.摇晃婴儿综合征:对证据的探寻。
Dev Med Child Neurol. 2008 Jan;50(1):8. doi: 10.1111/j.1469-8749.2007.00008.x.
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Guidelines for postmortem protocol for ocular investigation of sudden unexplained infant death and suspected physical child abuse.
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Hemorrhagic posterior vitreous detachment without intraretinal hemorrhage in a shaken infant.
Arch Ophthalmol. 2007 Sep;125(9):1301. doi: 10.1001/archopht.125.9.1301-a.
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Update on shaken baby syndrome: ophthalmology.摇晃婴儿综合征的最新情况:眼科
Curr Opin Ophthalmol. 2007 Sep;18(5):392-7. doi: 10.1097/ICU.0b013e3282a167f0.
9
Physical abuse and neglect of children.对儿童的身体虐待与忽视。
Lancet. 2007 Jun 2;369(9576):1891-1899. doi: 10.1016/S0140-6736(07)60856-3.
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Update on child maltreatment.儿童虐待问题的最新情况。
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