Roussey M, Dabadie A, Betrémieux P, Lefrançois M C, Journel H, Gandon Y
Arch Fr Pediatr. 1987 Jun-Jul;44(6):441-4.
The authors report 3 cases of infants presenting with cerebral lesions related to violent head shaking. They emphasize the diagnostic difficulties when the classical signs of the battered child (marks of blows, fractures) are lacking. The traumatism is rarely recognized: only the negativity of the usual medical causes of subdural hematoma, meningeal or retinal hemorrhage and a peculiar familial history lead to the possible diagnosis of shaken baby syndrome. The value of skull CT-scan is major, showing intracranial lesions which could not be found before. Because of the observed lesions, evolution is often severe.
作者报告了3例因剧烈摇晃头部而出现脑部病变的婴儿病例。他们强调，当缺乏受虐儿童的典型体征（打击痕迹、骨折）时，诊断存在困难。这种创伤很少被识别出来：只有排除硬膜下血肿、脑膜或视网膜出血的常见医学病因，以及特殊的家族病史，才有可能诊断为摇晃婴儿综合征。头颅CT扫描的价值很大，它能显示出以前无法发现的颅内病变。由于观察到的病变，病情往往发展严重。
