Revisiting neuroimaging of abusive head trauma in infants and young children.

نویسندگان

  • Kevin Li-Chun Hsieh
  • Robert A Zimmerman
  • Hung Wen Kao
  • Cheng-Yu Chen
چکیده

OBJECTIVE The purpose of this article is to use a mechanism-based approach to review the neuroimaging findings of abusive head trauma to infants. Advanced neuroimaging provides insights into not only the underlying mechanisms of craniocerebral injuries but also the long-term prognosis of brain injury for children on whom these injuries have been inflicted. CONCLUSION Knowledge of the traumatic mechanisms, the key neuroimaging findings, and the implications of functional imaging findings should help radiologists characterize the underlying causes of the injuries inflicted, thereby facilitating effective treatment.

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منابع مشابه

Abusive Head Trauma.pmd

While accidental trauma is the most common cause of death in childhood, abusive head trauma is the most common cause of traumatic death in infancy. The incidence of abusive head trauma in the United States is estimated to be 15 per 1000 children each year, though this may be an underestimation. Nearly 25% of children under 2 years of age who are hospitalized for head trauma have been abused. Th...

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Pearls and Pitfalls for the Pediatric Emergency Medical Provider in the Evaluation of Abusive Head Trauma

Abusive head trauma causes significant morbidity and mortality in infants and young children. The diagnosis of abusive head trauma can be difficult. Emergency medical providers frequently have initial contact with patients presentingwith abusive head injuries. It is important for emergency medical providers to consider child abuse in the differential diagnosis of head trauma and to know how to ...

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Abusive head trauma in infants and children.

Shaken baby syndrome is a term often used by physicians and the public to describe abusive head trauma inflicted on infants and young children. Although the term is well known and has been used for a number of decades, advances in the understanding of the mechanisms and clinical spectrum of injury associated with abusive head trauma compel us to modify our terminology to keep pace with our unde...

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Parenchymal Brain Laceration as a Predictor of Abusive Head Trauma.

BACKGROUND AND PURPOSE Accurate differentiation of abusive head trauma and accidental head injury in infants and young children is critical and impacts clinical care, patient prognosis, forensic investigations, and medicolegal proceedings. No specific finding seen on cross-sectional brain imaging has been reported to distinguish abusive head trauma from accidental injury. Our study investigated...

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Analysis of missed cases of abusive head trauma.

CONTEXT Abusive head trauma (AHT) is a dangerous form of child abuse that can be difficult to diagnose in young children. OBJECTIVES To determine how frequently AHT was previously missed by physicians in a group of abused children with head injuries and to determine factors associated with the unrecognized diagnosis. DESIGN Retrospective chart review of cases of head trauma presenting betwe...

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عنوان ژورنال:
  • AJR. American journal of roentgenology

دوره 204 5  شماره 

صفحات  -

تاریخ انتشار 2015