Matschke Jakob, Püschel Klaus, Glatzel Markus
Forensic Neuropathology, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.
Int J Legal Med. 2009 May;123(3):189-97. doi: 10.1007/s00414-008-0293-8. Epub 2008 Oct 21.
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.
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。