Inflicted traumatic brain injury in infants and young children
Inflicted traumatic brain injury in infants and young children
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DOI：
10.1111/j.1750-3639.2008.00204.x
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发表时间：
2008-10-01
期刊：
影响因子：
6.4
通讯作者：
Case, Mary E.
中科院分区：
文献类型：
--
作者：
Case, Mary E.
本文将讨论的主题造成或虐待性头部受伤的婴幼儿。神经损伤是一种非常常见的损伤，也是区分神经损伤和意外损伤的常见问题。施加的头部伤害通常发生在家中，在没有公正的证人的视野之外造成伤害的个人在场。外伤和意外伤害的区别可能取决于病理结果和对损伤周围环境的考虑。外伤中最常见的发现是硬膜下出血。硬膜下出血的分布和表现多种多样。硬膜下出血的自然史和“硬膜下”的解剖学将被考虑。硬脑膜的解剖结构及其与颅骨和蛛网膜的连接决定了硬脑膜下出血如何演变成裂开的硬脑膜边缘细胞层，以及桥静脉如何撕裂和出血的解剖位置。不同的生物力学机制导致硬膜下血液的不同分布，这些差异将被讨论。
This article will discuss the subject of inflicted or abusive head injury in infants and young children. Inflicted neurotrauma is a very common injury and a frequent problem in attempting to distinguish between inflicted and accidental injury. Inflicted head injury occurs usually in the home in the presence of the individual who has inflicted the injury outside the view of unbiased witnesses. Distinguishing between inflicted and accidental injury may be dependent upon the pathological findings and consideration of the circumstances surrounding the injury.The most common finding in an inflicted head injury is the presence of subdural hemorrhage. Subdural hemorrhage may occur in a variety of distributions and appearances. The natural history of subdural bleeding and the anatomy of the "subdural" will be considered. The anatomy of the dura and its attachment to the skull and to the arachnoid determines how subdural bleeding evolves into the cleaved dural border cell layer and as well as how bridging veins are torn and anatomically where bleeding will occur. Different biomechanical mechanisms result in different distributions of subdural blood and these differences will be discussed.