Weissgold D J, Budenz D L, Hood I, Rorke L B
Scheie Eye Institute, University of Pennsylvania, Philadelphia, USA.
Surv Ophthalmol. 1995 May-Jun;39(6):509-12. doi: 10.1016/s0039-6257(05)80058-x.
Battered/shaken baby syndrome is a clinical and pathologic diagnosis based on clinical examination, central nervous system dysfunction, and intracranial, optic nerve sheath, and retinal hemorrhages in infants under the age of three years. This report describes a case in which the battered/shaken baby syndrome was suspected because of an unusual parental reaction to an acute, mortal illness in their seven-week-old baby, as well as an acute intracranial hemorrhage coupled with the discovery of optic nerve sheath hemorrhages at necropsy. Thorough microscopic study, however, uncovered an unusual subarachnoid vascular malformation, the rupture of which led to the death of the infant. This case underscores the importance of complete postmortem examinations in cases of suspected child abuse, and teaches caution in jumping to hasty conclusions.
受虐/摇晃婴儿综合征是一种基于临床检查、中枢神经系统功能障碍以及三岁以下婴儿颅内、视神经鞘和视网膜出血而做出的临床和病理诊断。本报告描述了一例病例，由于七周大婴儿患急性致命疾病时父母的异常反应，以及尸检时发现的急性颅内出血和视神经鞘出血，怀疑该婴儿患有受虐/摇晃婴儿综合征。然而，全面的显微镜检查发现了一种不寻常的蛛网膜下腔血管畸形，其破裂导致了婴儿死亡。该病例强调了在疑似虐待儿童案件中进行完整尸检的重要性，并告诫不要匆忙下结论。
