Caré Marguerite M
Department of Radiology and Medical Imaging, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA.
Department of Radiology and Medical Imaging, University of Cincinnati, Cincinnati, OH 45267, USA.
Diagnostics (Basel). 2022 Apr 12;12(4):955. doi: 10.3390/diagnostics12040955.
Subdural hemorrhage is a key imaging finding in cases of abusive head trauma and one that many radiologists and radiology trainees become familiar with during their years of training. Although it may prove to be a marker of trauma in a young child or infant that presents without a history of injury, the parenchymal insults in these young patients more often lead to the debilitating and sometimes devastating outcomes observed in this young population. It is important to recognize these patterns of parenchymal injuries and how they may differ from the imaging findings in other cases of traumatic injury in young children. In addition, these parenchymal insults may serve as another significant, distinguishing feature when making the medical diagnosis of abusive head injury while still considering alternative diagnoses, including accidental injury. Therefore, as radiologists, we must strive to look beyond the potential cranial injury or subdural hemorrhage for the sometimes more subtle but significant parenchymal insults in abuse.
硬膜下出血是虐待性头部创伤病例中的一项关键影像学表现，许多放射科医生和放射科实习生在多年培训过程中都对其有所了解。虽然在没有受伤史的幼儿或婴儿中，硬膜下出血可能被证明是创伤的一个标志，但这些年轻患者的脑实质损伤更常导致在这一年轻人群中观察到的使人衰弱甚至有时是毁灭性的后果。认识这些脑实质损伤的模式以及它们与幼儿其他创伤性损伤病例的影像学表现有何不同很重要。此外，在做出虐待性头部损伤的医学诊断时，在仍考虑包括意外伤害在内的其他诊断时，这些脑实质损伤可能是另一个重要的、有区别性的特征。因此，作为放射科医生，我们必须努力超越潜在的颅脑损伤或硬膜下出血，去寻找虐待中有时更细微但却很重要的脑实质损伤。
