Teixeira Sara Reis, Gonçalves Fabrício Guimarães, Servin Carolina A, Mankad Kshitij, Zuccoli Giulio
Division of Radiology, Clinical Hospital, Ribeirao Preto Medical School, University of Sao Paulo, Ribeirao Preto.
Neuroradiology Department, Children's Hospital of Brasília, Brasília, Brazil.
Top Magn Reson Imaging. 2018 Dec;27(6):503-514. doi: 10.1097/RMR.0000000000000169.
Abusive head trauma (AHT) is a form of inflicted head injury. AHT is more frequent in 2-year-old or younger children. It is an important cause of neurological impairment and the major cause of death from head trauma in this age group. Brain magnetic resonance imaging allows the depiction of retinal hemorrhages, injured bridging veins, and identifying and localizing extra- and intra-axial bleeds, contusions, lacerations, and strokes. The diagnosis of AHT is a multidisciplinary team effort which includes a careful evaluation of social, clinical, laboratory, and radiological findings. Notwithstanding, the introduction in the current clinical practice of high-resolution techniques is adding forensic evidence to the recognition of AHT.
虐待性头部创伤（AHT）是一种人为造成的头部损伤形式。AHT在2岁及以下儿童中更为常见。它是神经功能障碍的重要原因，也是该年龄组头部创伤致死的主要原因。脑磁共振成像能够显示视网膜出血、受损的桥静脉，以及识别和定位轴外和轴内出血、挫伤、撕裂伤和中风。AHT的诊断需要多学科团队的共同努力，包括对社会、临床、实验室和影像学检查结果进行仔细评估。尽管如此，高分辨率技术在当前临床实践中的应用正在为AHT的识别增添法医证据。
