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大脑半球间急性硬膜下血肿:摇晃导致虐待儿童的计算机断层扫描表现。

Interhemispheric acute subdural hematoma: a computed tomographic manifestation of child abuse by shaking.

作者信息

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

出版信息

Neuroradiology. 1978;16:39-40. doi: 10.1007/BF00395197.

DOI:10.1007/BF00395197
PMID:740207
Abstract

Parieto-occipital interhemispheric acute subdural hematomas (IASH) were found in 17 (61%) of 28 abused children examined by computed tomography, presenting with neurologic symptoms. CT demonstration of IASH correlated with injury due to severe shaking, the presence of retinal hemorrhages, and the absence of the stigmata of battering. Subsequent computed tomographic examination in these patients demonstrated infarction in 50%, and cerebral atrophy in 100%.

摘要

在接受计算机断层扫描检查的28名受虐儿童中,有17名(61%)发现了顶枕叶间急性硬膜下血肿(IASH),伴有神经症状。IASH的CT表现与严重摇晃所致损伤、视网膜出血的存在以及殴打痕迹的缺失相关。这些患者随后的计算机断层扫描检查显示,50%出现梗死,100%出现脑萎缩。

相似文献

1
Interhemispheric acute subdural hematoma: a computed tomographic manifestation of child abuse by shaking.大脑半球间急性硬膜下血肿:摇晃导致虐待儿童的计算机断层扫描表现。
Neuroradiology. 1978;16:39-40. doi: 10.1007/BF00395197.
2
Computed tomography of craniocerebral injury in the abused child.受虐儿童颅脑损伤的计算机断层扫描
Radiology. 1979 Mar;130(3):687-90. doi: 10.1148/130.3.687.
3
[Three cases of acute subdural hematoma in abused children].[受虐儿童急性硬膜下血肿三例]
No Shinkei Geka. 1996 Oct;24(10):945-8.
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Subdural hematomas in abused children: report of six cases from Japan.受虐儿童的硬膜下血肿:来自日本的6例报告。
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[Not-always-apparent abuse: the shaken baby syndrome].[不易察觉的虐待:摇晃婴儿综合征]
Arch Fr Pediatr. 1987 Jun-Jul;44(6):441-4.
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The whiplash shaken infant syndrome: what has been learned?挥鞭样摇晃婴儿综合征:我们了解到了什么?
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[Diffuse hemispheric low density on CT scan following acute interhemispheric subdural hematoma in an infant. Case report].[婴儿急性大脑镰下硬膜下血肿后CT扫描显示弥漫性半球低密度。病例报告]
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Clin Neuroradiol. 2019 Jun;29(2):253-261. doi: 10.1007/s00062-018-0663-7. Epub 2018 Jan 23.
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Neuroimaging differential diagnoses to abusive head trauma.虐待性头部创伤的神经影像学鉴别诊断。
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Unilateral hypoxic-ischemic injury in young children from abusive head trauma, lacking craniocervical vascular dissection or cord injury.

本文引用的文献

1
Infant injuries: accident or abuse?
Pediatrics. 1969 Sep;44(3):434-9.
2
Infantile subdural haematoma and its relationship to whiplash injuries.婴儿硬膜下血肿及其与挥鞭样损伤的关系。
Br Med J. 1971 May 22;2(5759):430-1. doi: 10.1136/bmj.2.5759.430.
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On the theory and practice of shaking infants. Its potential residual effects of permanent brain damage and mental retardation.论摇晃婴儿的理论与实践。其导致永久性脑损伤和智力发育迟缓的潜在残留影响。
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幼儿因虐待性头部外伤导致的单侧缺氧缺血性损伤,无颅颈血管夹层或脊髓损伤。
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Outcome after severe non-accidental head injury.重度非意外性头部损伤后的结局。
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The spontaneous reabsorbtion of posttraumatic interhemispheric subdural haematoma.创伤后大脑半球间硬膜下血肿的自发吸收
Acta Neurochir (Wien). 1996;138(6):776-7. doi: 10.1007/BF01411487.
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The whiplash shaken infant syndrome: manual shaking by the extremities with whiplash-induced intracranial and intraocular bleedings, linked with residual permanent brain damage and mental retardation.
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A sign of subarachnoid bleeding on cranial computed tomograms of pediatric head trauma patients.
Radiology. 1978 Feb;126(2):409-11. doi: 10.1148/126.2.409.
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Computed tomography of craniocerebral injury in the abused child.受虐儿童颅脑损伤的计算机断层扫描
Radiology. 1979 Mar;130(3):687-90. doi: 10.1148/130.3.687.