Frank Y, Zimmerman R, Leeds N M
Dev Med Child Neurol. 1985 Jun;27(3):312-6. doi: 10.1111/j.1469-8749.1985.tb04541.x.
Four infants with the 'shaken infant syndrome' are described. None had skull fractures and only one had a subdural hematoma. All had extensive retinal and pre-retinal hemorrhages. Follow-up computerized tomography showed severe brain atrophy, multiple hypodense areas and ventricular enlargement. Three of the patients suffered severe, permanent brain damage, with mental retardation, spasticity and blindness. It is suggested that the underlying pathogenesis of this syndrome is acutely increased intrathoracic pressure, transmitted into the head to cause multiple venous infarctions. Retinal and pre-retinal hemorrhages are cardinal features of this syndrome and their presence should raise the suspicion of this form of battering in the absence of the 'classical' signs of battering.
本文描述了4例患有“摇晃婴儿综合征”的婴儿。他们均无颅骨骨折，仅有1例存在硬膜下血肿。所有患儿均有广泛的视网膜及视网膜前出血。后续的计算机断层扫描显示严重脑萎缩、多个低密度区及脑室扩大。3例患儿遭受了严重的永久性脑损伤，伴有智力发育迟缓、痉挛和失明。提示该综合征的潜在发病机制是胸腔内压力急剧升高，并传导至头部导致多处静脉梗死。视网膜及视网膜前出血是该综合征的主要特征，在缺乏“典型”虐待迹象的情况下，其出现应引起对这种虐待形式的怀疑。
