TY - JOUR
T1 - Progression of chronic subdural haematomas in an infant boy after abusive head trauma
AU - Wuerfel Nee Tysiak, E.
AU - Petersen, Dirk
AU - Gottschalk, Stefan
AU - Gerling, Ivana
AU - Gliemroth, Jan
AU - Thyen, Ute
PY - 2012/11/1
Y1 - 2012/11/1
N2 - Abusive head trauma is a serious form of child abuse that can lead to severe neuropsychological sequelae or death in infants. In questionable cases, without a confession from the caregivers and ambiguous clinical information, evidence for the diagnosis of abusive head trauma is often based on typical patterns that have been observed in neuro-imaging. This study shows the progressive evolution of multifocal chronic subdural haematomas, including re-bleedings, in a case of abusive head trauma in an infant boy who was documented with repeated magnetic resonance imaging. The chronic subdural haematomas occurred during closely monitored in-patient rehabilitative care, and repeated maltreatment did not appear to be likely. Due to excessive growth, neurosurgical intervention with endoscopic craniotomy, evacuation of the subdural haematomas and temporal external cerebrospinal fluid drainage was performed with a favourable recovery. This study discusses the current pathophysiological knowledge concerning the development and clinical course of chronic subdural haematomas and draws relevant conclusions for the clinical practice and psychosocial management of caring for victims of abusive head trauma.
AB - Abusive head trauma is a serious form of child abuse that can lead to severe neuropsychological sequelae or death in infants. In questionable cases, without a confession from the caregivers and ambiguous clinical information, evidence for the diagnosis of abusive head trauma is often based on typical patterns that have been observed in neuro-imaging. This study shows the progressive evolution of multifocal chronic subdural haematomas, including re-bleedings, in a case of abusive head trauma in an infant boy who was documented with repeated magnetic resonance imaging. The chronic subdural haematomas occurred during closely monitored in-patient rehabilitative care, and repeated maltreatment did not appear to be likely. Due to excessive growth, neurosurgical intervention with endoscopic craniotomy, evacuation of the subdural haematomas and temporal external cerebrospinal fluid drainage was performed with a favourable recovery. This study discusses the current pathophysiological knowledge concerning the development and clinical course of chronic subdural haematomas and draws relevant conclusions for the clinical practice and psychosocial management of caring for victims of abusive head trauma.
UR - http://www.scopus.com/inward/record.url?scp=84867103696&partnerID=8YFLogxK
U2 - 10.1016/j.ejpn.2012.02.006
DO - 10.1016/j.ejpn.2012.02.006
M3 - Journal articles
C2 - 22421521
AN - SCOPUS:84867103696
SN - 1090-3798
VL - 16
SP - 736
EP - 739
JO - European Journal of Paediatric Neurology
JF - European Journal of Paediatric Neurology
IS - 6
ER -