受虐儿童颅脑损伤的计算机断层扫描

Computed tomography of craniocerebral injury in the abused child.

作者信息

Zimmerman R A, Bilaniuk L T, Bruce D, Schut L, Uzzell B, Goldberg H I

出版信息

Radiology. 1979 Mar;130(3):687-90. doi: 10.1148/130.3.687.

DOI:10.1148/130.3.687

Abstract

Computed tomography (CT) was performed in 26 infants and children with craniocerebral trauma related to abuse during a 41-month period. The pattern of brain injury differed from that seen in the nonabused traumatized infant or child. Parieto-occipital acute interhemispheric subdural hematoma (AIHSH) with associated parenchymal injury was the most frequent finding (58%). Follow-up by CT in patients with AIHSH demonstrated infarction in half and cerebral atrophy in all.

摘要

在41个月的时间里，对26名遭受虐待相关颅脑创伤的婴幼儿进行了计算机断层扫描（CT）检查。脑损伤模式与非受虐创伤婴幼儿所见不同。顶枕部急性大脑半球间硬膜下血肿（AIHSH）伴实质损伤是最常见的表现（58%）。对患有AIHSH的患者进行CT随访显示，一半患者出现梗死，所有患者均出现脑萎缩。