Shekdar Karuna
Department of Radiology-Neuroradiology Division, Children's Hospital of Philadelphia, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, 19104, USA.
Indian J Pediatr. 2016 Jun;83(6):578-88. doi: 10.1007/s12098-016-2043-0. Epub 2016 Feb 17.
"Shaken baby syndrome" is a term often used by the physicians and public to describe abusive trauma inflicted on infants and young children. Advances in the understanding of the mechanisms and the associated clinical spectrum of injury has lead us to modify our terminology and address it as "abusive trauma" (AT). Pediatric abusive head trauma is defined as an injury to the skull or intracranial contents of an infant or a young child (< 5 y age) due to inflicted blunt impact and/or violent shaking. This chapter focuses on the imaging aspects of childhood abusive trauma along with a brief description of the mechanism and pathophysiology of abusive injury. The diagnosis of AT is not always obvious, and abusive injuries in many infants may remain unrecognized. Pediatricians should be cognizant of AT since pediatricians play a crucial role in the diagnosis, management and prevention of AT.
“摇晃婴儿综合征”是医生和公众常用的一个术语,用于描述对婴幼儿施加的虐待性创伤。随着对损伤机制及相关临床谱系认识的进展,我们对术语进行了修改,将其称为“虐待性创伤”(AT)。儿科虐待性头部创伤的定义为,因遭受钝器撞击和/或剧烈摇晃,导致婴儿或幼儿(<5岁)颅骨或颅内组织受伤。本章重点介绍儿童虐待性创伤的影像学表现,并简要描述虐待性损伤的机制和病理生理学。AT的诊断并非总是显而易见,许多婴儿的虐待性损伤可能未被识别。儿科医生应认识到AT,因为他们在AT的诊断、管理和预防中起着至关重要的作用。