Cortical hypoxic-ischemic brain damage in shaken-baby (shaken impact) syndrome: value of diffusion-weighted MRI
Cortical hypoxic-ischemic brain damage in shaken-baby (shaken impact) syndrome: value of diffusion-weighted MRI
复制标题
摇晃婴儿（摇晃冲击）综合征中的皮质缺氧缺血性脑损伤：弥散加权 MRI 的价值
作者：
P. Parizel;B. Ceulemans;A. Laridon;Ö. Özşarlak;J. V. van Goethem;P. Jorens
摇晃婴儿综合征（SBS）是一种虐待儿童的类型，由婴儿的剧烈摇晃引起，有或没有影响，其特征是硬膜下血肿，视网膜破裂和隐匿性骨折。SBS的脑实质病变在CT扫描上可能会被遗漏或低估，但可以在早期用弥散加权MRI（DW-MRI）作为弥散受限区域检测到。我们证明DW-MRI在一个2个月大的男婴怀疑SBS的价值。扩散异常的模式表明，在SBS的实质病变的神经病理是由于缺氧缺血性脑损伤，而不是弥漫性轴索损伤。
Shaken-baby syndrome (SBS) is a type of child abuse caused by violent shaking of an infant, with or without impact, and characterized by subdural hematomas, retinal hemorrhages, and occult bone fractures. Parenchymal brain lesions in SBS may be missed or underestimated on CT scans, but can be detected at an earlier stage with diffusion-weighted MRI (DW-MRI) as areas of restricted diffusion. We demonstrate the value of DW-MRI in a 2-month-old baby boy with suspected SBS. The pattern of diffusion abnormalities indicates that the neuropathology of parenchymal lesions in SBS is due to hypoxic-ischemic brain injuries, and not to diffuse axonal injury.