Girard Nadine, Brunel Hervé, Dory-Lautrec Philippe, Chabrol Brigitte
Department of Neuroradiology, AP-HM Timone 2, 264 Boulevard Jean Moulin, 13285, Marseille cedex 05, France.
Aix Marseille University, UMR CNRS 7339, Marseille, France.
Pediatr Radiol. 2016 May;46(5):603-14. doi: 10.1007/s00247-015-3509-3. Epub 2015 Dec 30.
Trauma is the most common cause of death in childhood, and abusive head trauma is the most common cause of traumatic death and morbidity in infants younger than 1 year. The main differential diagnosis of abusive head trauma is accidental traumatic brain injury, which is usually witnessed. This paper also discusses more uncommon diagnoses such as congenital and acquired disorders of hemostasis, cerebral arteriovenous malformations and metabolic diseases, all of which are extremely rare. Diagnostic imaging including CT and MRI is very important for the distinction of non-accidental from accidental traumatic injury.
创伤是儿童期最常见的死亡原因，而虐待性头部创伤是1岁以下婴儿创伤性死亡和发病的最常见原因。虐待性头部创伤的主要鉴别诊断是意外性脑外伤，后者通常有目击证人。本文还讨论了更罕见的诊断，如先天性和获得性止血障碍、脑动静脉畸形和代谢性疾病，所有这些都极为罕见。包括CT和MRI在内的诊断性影像学检查对于区分非意外性和意外性创伤性损伤非常重要。
