6533b86ffe1ef96bd12cd2b6
RESEARCH PRODUCT
Battered child syndrome: cerebral ultrasound and CT findings after vigorous shaking.
R. SchumacherFred ZeppK. BrühlB. Zimmersubject
Child abuseMalemedicine.medical_specialtyIntracranial PressureLeukomalacia PeriventricularBrain EdemaCerebral edemaHead Injuries ClosedBattered Child SyndromemedicineWhiplashBattered Child SyndromeHumansCerebral perfusion pressureIntracranial pressureNeurologic Examinationmedicine.diagnostic_testbusiness.industryHead injuryInfant NewbornInfantGeneral Medicinemedicine.diseaseEchoencephalographySurgeryEchoencephalographyPediatrics Perinatology and Child HealthFemaleNeurology (clinical)RadiologybusinessTomography X-Ray Computeddescription
Child abuse by whiplash-shaking can lead to severe cerebral damage, neurological defects and mental retardation. Cerebral damage has been found with and without external evidence of head injury. We report the sonographic findings in two children after traumatization due to repetitive vigorous whiplash shaking. Cerebral sonography revealed cerebral edema at admission or within 48 hours thereafter. Follow-up studies demonstrated development of marked brain atrophy in both cases. The sonographic findings were confirmed by cranial computerized tomography. Doppler sonography was used to monitor cerebral perfusion by measuring intracranial blood flow. The clinical history of the patients demonstrates that cerebral sonography in combination with Doppler sonography not only serves as a diagnostic tool but also allows adjustment of therapy to the actual clinical status of the patient.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 1992-08-01 | Neuropediatrics |