Cerebellar lesions in pediatric abusive head trauma

Details

Serval ID
serval:BIB_243E8EF0BA74
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Cerebellar lesions in pediatric abusive head trauma
Journal
European journal of paediatric neurology
Author(s)
Haas-Lude Karin, Roulet-Perez Eliane, Döbler-Neumann Marion, Groeschel Samuel, Nägele Thomas, Krägeloh-Mann Ingeborg
ISSN
1532-2130 (Electronic)
ISSN-L
1090-3798
Publication state
Published
Issued date
07/2019
Peer-reviewed
Oui
Volume
23
Number
4
Pages
604-608
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Pediatric abusive head trauma (AHT) or non accidental head trauma (NAHT) is a major cause of death from trauma in children under 2 years of age. Main etiological factor for non accidental head trauma is shaking a baby, causing brain injury by rotational head acceleration and deceleration. The consequent brain damage as shown by magnetic resonance imaging (MRI) is subdural haemorrhage and to a lesser extent parenchymal injuries of variable severity. Involvement of the cerebellum has very rarely been described. We report the clinical history and the development of cerebral magnetic resonance imaging findings in two children with serious brain injury following probable shaking who presented the typical "triad" with subdural haematoma, retinal haemorrhage and encephalopathy. We want to draw attention to cerebellar involvement characterized by cortico-subcortical signal alterations most prominent on T2w images following diffusion changes during the acute period. We discuss cerebellar involvement as a sign of higher severity of AHT which is probably underrecognized.
Keywords
AHT, Abusive head trauma, Cerebral and cerebellar MRI findings, NAHT, Non accidental head trauma, Shaken baby syndrome
Pubmed
Web of science
Create date
18/06/2019 17:17
Last modification date
30/11/2019 7:16
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