Reith W, Yilmaz U, Kraus C
Klinik für Diagnostische und Interventionelle Neuroradiologie, Universitätsklinikum des Saarlandes, Kirrberger Straße, 66424, Homburg/Saar, Deutschland.
Radiologe. 2016 May;56(5):424-31. doi: 10.1007/s00117-016-0106-x.
The shaken baby syndrome (SBS) or shaking trauma describes the occurrence of subdural hematoma, retinal hemorrhage and diffuse injury to the brain by vigorous shaking of an infant that has a poor prognosis. Rapid cranial acceleration and deceleration leads to tearing of bridging veins, retinal hemorrhages and diffuse brain injuries. In addition to clinical symptoms, such as irritability, feeding difficulties, somnolence, apathy, seizures, apnea and temperature regulation disorders, vomiting also occurs due to increased intracranial pressure. Milder forms of SBS often go undiagnosed and the number of unreported cases (grey area) is probably much higher. Up to 20 % of patients die within days or weeks due to SBS and survivors often show cognitive deficits and clinical symptoms, such as physical disabilities, impaired hearing, impaired vision up to blindness, epilepsy and mental retardation as well as a combination of these conditions; therefore, prevention is very important.
摇晃婴儿综合征（SBS）或摇晃创伤是指因剧烈摇晃婴儿而导致硬膜下血肿、视网膜出血和脑弥漫性损伤的情况，其预后较差。快速的颅骨加速和减速会导致桥静脉撕裂、视网膜出血和脑弥漫性损伤。除了易怒、喂养困难、嗜睡、冷漠、癫痫发作、呼吸暂停和体温调节障碍等临床症状外，由于颅内压升高还会出现呕吐。较轻形式的SBS常常未被诊断出来，未报告病例（灰色地带）的数量可能要高得多。高达20%的患者会在数天或数周内因SBS死亡，幸存者常常表现出认知缺陷和临床症状，如身体残疾、听力受损、视力受损直至失明、癫痫和智力迟钝以及这些情况的组合；因此，预防非常重要。
