Titre
Cerebellar lesions in pediatric abusive head trauma
Type
étude de cas
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Auteur(s)
Haas-Lude, Karin
Auteure/Auteur
Roulet-Perez, Eliane
Auteure/Auteur
Döbler-Neumann, Marion
Auteure/Auteur
Groeschel, Samuel
Auteure/Auteur
Nägele, Thomas
Auteure/Auteur
Krägeloh-Mann, Ingeborg
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
1532-2130
Statut éditorial
Publié
Date de publication
2019-07
Volume
23
Numéro
4
Première page
604
Dernière page/numéro d’article
608
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Publication Status: ppublish
Résumé
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.
PID Serval
serval:BIB_243E8EF0BA74
PMID
Date de création
2019-06-18T15:17:15.293Z
Date de création dans IRIS
2025-05-20T17:23:05Z