Wittschieber D, Muggenthaler H, Mall G, Mentzel H-J
Institut für Rechtsmedizin, Universitätsklinikum Jena, Friedrich-Schiller-Universität Jena, Am Klinikum 1, 07747, Jena, Deutschland.
Institut für Diagnostische und Interventionelle Radiologie, Sektion Kinderradiologie, Universitätsklinikum Jena, Friedrich-Schiller-Universität Jena, Jena, Deutschland.
Radiologe. 2021 Jan;61(1):71-79. doi: 10.1007/s00117-020-00780-5.
Shaken baby syndrome is a common variant of the abusive head trauma in infants and toddlers and is still subject of intensive research. In recent years, a number of radiological studies on the diagnostic and forensic relevance of injured bridging veins were conducted using different imaging modalities. The present article will give an overview on the current state of research in this field and will discuss the forensic implications. The meta-analysis of the seven currently existing studies revealed that injuries of the bridging veins and bridging vein thromboses, respectively, frequently appear as rounded, enlarged, and/or tubular structures. The "tadpole sign" may serve as a valuable tool for the identification of these formations. Especially, T2*/SWI (susceptibility-weighted imaging) sequences allow for good detectability of these lesions and should always be generated when abusive head trauma is suspected. In conclusion, it can be recommended that the presence of radiologically detectable bridging vein injuries should give reason to search for other manifestations of physical child abuse.
摇晃婴儿综合征是婴幼儿虐待性头部创伤的一种常见变体，仍是深入研究的对象。近年来，使用不同的成像方式对受伤桥静脉的诊断和法医相关性进行了多项放射学研究。本文将概述该领域的研究现状，并讨论法医方面的影响。对目前现有的七项研究进行的荟萃分析表明，桥静脉损伤和桥静脉血栓形成分别经常表现为圆形、增大和/或管状结构。“蝌蚪征”可作为识别这些结构的宝贵工具。特别是，T2* / SWI（磁敏感加权成像）序列能够很好地检测到这些病变，当怀疑有虐待性头部创伤时应始终进行该序列成像。总之，建议放射学可检测到的桥静脉损伤的存在应促使人们寻找儿童身体虐待的其他表现。
