Murata Yuki, Sakakibara Hiroshi
Department of Pediatrics, Tokyo Metropolitan Children's Medical Center, Tokyo, JPN.
Cureus. 2023 May 28;15(5):e39620. doi: 10.7759/cureus.39620. eCollection 2023 May.
Neck hair-thread tourniquet syndrome (NHTTS) is a rare condition that can be a pediatric emergency, occurring when a hair or thread becomes tightly wrapped around a body part, leading to vascular or tissue damage. NHTTS commonly affects infants and young children and can result in severe complications if not promptly diagnosed and treated. The unusual nature of this event, the diffuse petechial hemorrhage on the face, and the presentation of ligature marks extending around the neck led us to admit the child to the general pediatric ward for follow-up and further investigation of the possibility of non-accidental trauma. Co-sleeping is a common cultural practice in Japan where parents sleep in close proximity to their infants. This case report aims to raise awareness among pediatricians and parents about the possibility of NHTTS occurring in infants who co-sleep, particularly when a strand of hair becomes entangled around their neck, about the early detection and appropriate management of NHTTS. And we also summarize the reported NHTTS cases.
颈部毛发-线绳绞勒综合征（NHTTS）是一种罕见病症，可能成为儿科急症，当毛发或线绳紧紧缠绕身体某部位时就会发生，进而导致血管或组织损伤。NHTTS通常影响婴幼儿，如果不及时诊断和治疗可能会导致严重并发症。该事件的特殊性、面部弥漫性瘀点出血以及颈部周围出现的勒痕，促使我们将患儿收治到普通儿科病房进行随访，并进一步调查非意外伤害的可能性。同睡在日本是一种常见的文化习俗，父母会与婴儿近距离睡眠。本病例报告旨在提高儿科医生和家长对同睡婴儿发生NHTTS可能性的认识，尤其是当一缕头发缠在婴儿颈部时，以及对NHTTS的早期检测和适当处理的认识。我们还总结了已报道的NHTTS病例。
