Kojima Katsuaki, Nimtz Jennifer, Martin Steven W, Guertin Stephen R, Cavenagh Ellen C
Department of Pediatrics and Human Development, College of Human Medicine, Michigan State University, East Lansing, USA.
Department of Radiology, College of Human Medicine, Michigan State University, East Lansing, USA.
J Radiol Case Rep. 2017 Jul 31;11(7):8-13. doi: 10.3941/jrcr.v11i7.2905. eCollection 2017 Jul.
We report a case of nonaccidental trauma (NAT) involving a 23-month-old boy who presented with seizures, acute subarachnoid hemorrhage, and acute subdural hemorrhage. Ophthalmologic examination showed bilateral intraretinal hemorrhages. Further evaluation revealed that he had bilateral thoracolumbar paravertebral calcifications. The Children's Protective Services agency was involved in the case. The child was discharged to an inpatient rehabilitation facility. Vertebral fracture associated with paravertebral calcification has been reported as a sign of NAT. This case was unique because our patient had paravertebral calcifications without vertebral fracture. Paravertebral calcification alone could serve as an indicator of NAT.
我们报告一例非意外性创伤（NAT）病例，患儿为一名23个月大的男孩，表现为癫痫发作、急性蛛网膜下腔出血和急性硬膜下出血。眼科检查显示双侧视网膜内出血。进一步评估发现他双侧胸腰椎旁椎骨钙化。儿童保护服务机构介入了该病例。患儿被送往住院康复机构。与椎旁钙化相关的椎体骨折已被报道为非意外性创伤的一个迹象。该病例的独特之处在于我们的患者有椎旁钙化但无椎体骨折。仅椎旁钙化就可作为非意外性创伤的一个指标。
