Miziara C S, Serrano V A, Kok F, Marques-Dias M J
Clinica Neurológica, Hospital das Clinicas São Paulo, Brasil.
Arq Neuropsiquiatr. 1988 Dec;46(4):359-64. doi: 10.1590/s0004-282x1988000400003.
Data on 7 cases of battered child syndrome with neurological complications are reviewed. First symptoms were convulsions and bulged fontanel of undetermined origin. At clinical examination the unexpected presence of retinal hemorrhage in 5/7 patients has been the main criteria to diagnostic definition. CT showed the presence of subdural collections in the majority of the patients. A normal CT, however, does not display the possibility of future problems. Successive CT studies have proved useful. In two cases they demonstrated the appearance of diffuse images of central nervous system destruction some weeks later, and probably related to ischaemic troubles in connection with the aggression mechanisms.
回顾了7例受虐儿童综合征伴神经系统并发症的病例资料。首发症状为不明原因的惊厥和囟门隆起。临床检查时，5/7的患者出现视网膜出血是诊断的主要依据。多数患者CT显示有硬膜下积液。然而，CT正常并不能排除未来出现问题的可能性。后续的CT检查证明是有用的。在两例病例中，CT显示数周后出现中枢神经系统弥漫性破坏影像，可能与攻击机制相关的缺血性病变有关。
