Abstract：
:Shaken baby syndrome/abusive head trauma is a leading cause of morbidity and mortality in infants. The presence of a diffuse subdural hematoma without evidence of accident is a key diagnostic clue. The hematoma is typically attributed to rupture of the cerebral bridging veins due to violent shaking, with or without impact. Dating the incident, however, remains controversial. The aim of this article is to review the most reliable features used for dating the incident, based on both legal statements by perpetrators and medical documentation. The key points are: 1) The high (yet likely underestimated) frequency of repeated shaking is around 50%, 2) Children do not behave normally immediately after shaking, and the time of onset of even mild symptoms appears to be the best clue for dating the incident and 3) Brain imaging provides strong indicators of "age-different" injuries but the ranges for dating the causal event are wide. The density pattern in a single subdural hematoma location provides no reliable clues for assessing repeated violence. Only the finding of different density in two distant subdural hematomas argues in favor of "age-different" injuries, i.e. repeated violence. MRI is difficult to interpret in terms of dating subdural hemorrhages and must be analyzed in conjunction with CT. Most importantly, all of the child's previous clinical and radiological data must be carefully studied and correlated to provide accurate information on the date and repetition of the trauma.
journal_name
Pediatr Radioljournal_title
Pediatric radiologyauthors
Adamsbaum C,Morel B,Ducot B,Antoni G,Rey-Salmon Cdoi
10.1007/s00247-014-3171-1subject
Has Abstractpub_date
2014-12-01 00:00:00pages
S578-88eissn
0301-0449issn
1432-1998journal_volume
44 Suppl 4pub_type
杂志文章abstract：:We present the CT and MRI findings of an 8-day-old infant with an infected cephalhaematoma complicated by skull osteomyelitis, venous sinus thrombosis and left cerebellar haemorrhage. ...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-001-0647-6
更新日期：2002-05-01 00:00:00
abstract：:We present a child with a rapidly growing mass and lytic skull lesion that on pathologic evaluation was diagnosed as cranial fasciitis. This disease entity is not widely known by radiologists, and should be included in the differential diagnosis of lytic skull lesions. ...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02011971
更新日期：1993-01-01 00:00:00
abstract：:The presence of fungus balls within the collecting system is an important clue to the radiological diagnosis of genitourinary candidiasis. In this report, an 8-month-old infant with this opportunistic infection is described. Emphasis is placed on the radiological findings of renal candidiasis, including previously unr...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s002470000351
更新日期：2000-12-01 00:00:00
abstract：:We report two cases of pancreatic pseudocysts in children developing after blunt trauma to the abdomen. Gray-scale echography provides a safe and exact method in establishing the diagnosis and in the follow-up of the disease. In one case the pancreatic pseudocyst resolved spontaneously justifying our opinion that not ...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF00971784
更新日期：1981-01-01 00:00:00
abstract：:The clinical and radiological findings in fused labia are described. Some of the patients were asymptomatic. The others were referred because of a suspicion of urinary infection. Micturating cystourethrography showed collection of contrast material above the labia and marked reflux into the vagina in all patients exam...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF00975335
更新日期：1978-04-10 00:00:00
abstract：BACKGROUND:Food allergy may be partly due to impairment of the intestinal barrier and is frequently associated with atopic dermatitis (AD) in early life. OBJECTIVE:To determine whether bowel wall thickening, as demonstrated by US, is useful for the identification of food allergy. MATERIALS AND METHODS:We used US to s...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-001-0593-3
更新日期：2002-01-01 00:00:00
abstract：BACKGROUND:Fluoroscopy is an important tool for diagnosis in the pediatric population, but it carries the risk of radiation exposure. Because radiology resident education and experience in the use of fluoroscopy equipment in children vary, we implemented an intervention to standardize fluoroscopy training. OBJECTIVE:T...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-014-3108-8
更新日期：2015-02-01 00:00:00
abstract：:Hypertension due to transplant renal artery stenosis was treated with percutaneous transluminal angioplasty (PTA) in 6 children. 8 angioplasties were performed and the follow-up period varied between 3 and 66 months (average 23 months). The stenoses were located at the site of anastomosis in 4 children and distal to t...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02012999
更新日期：1992-01-01 00:00:00
abstract：BACKGROUND:Focal liver lesions are common in children and adults after Fontan procedures. OBJECTIVE:To explore the relationship between liver shear stiffness, using magnetic resonance (MR) elastography, and the presence of focal liver lesions in patients after Fontan procedures (total cavopulmonary anastomosis). MATE...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-018-4264-z
更新日期：2019-01-01 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章,评审
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更新日期：2004-09-01 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s002470000258
更新日期：2000-08-01 00:00:00
abstract：:We describe the previously unreported finding of ossification within a rhabdomyosarcoma of the extremity in the absence of bone destruction. Rhabdomyosarcoma is a highly malignant tumor but could not be radiographically differentiated from benign or other malignant causes of soft-tissue masses containing calcium. Defi...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF00971789
更新日期：1981-01-01 00:00:00
abstract：:Pulmonary venous anomalies comprise a wide spectrum of anatomical variations and their clinical presentations may vary from the relatively benign single partial anomalous pulmonary venous connection (PAPVC) to the critical obstructed total anomalous pulmonary venous connection (TAPVC). We briefly review the common ano...
journal_title：Pediatric radiology
pub_type： 杂志文章,评审
doi：10.1007/s00247-014-3044-7
更新日期：2014-09-01 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章,评审
doi：10.1007/s00247-005-1502-y
更新日期：2005-09-01 00:00:00
abstract：:Peutz-Jeghers syndrome (PJS) is a rare, though well-described, hereditary polyposis syndrome associated with mucocutaneous pigmentation that typically presents in the second decade of life with complications related to intestinal polyps. We present two cases of teenaged girls presenting with small-bowel intussusceptio...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-002-0695-6
更新日期：2002-09-01 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-013-2629-x
更新日期：2013-07-01 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-003-0999-1
更新日期：2003-10-01 00:00:00
abstract：:The anatomical anomalies that characterize septo-optic-dysplasia (deMorsier Syndrome) are variable and often subtle. We report imaging studies of nine patients with septo-optic-dysplasia which provide radiologic and ultrasonographic clues to this disorder. In addition, we propose that cerebral schizencephaly may be a ...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02388642
更新日期：1989-01-01 00:00:00
abstract：BACKGROUND:In order to assess relationships between thyroid hormone status and findings on brain MRI, a subset of babies was recruited to a multi-centre randomised, placebo-controlled trial of levothyroxine (LT4) supplementation for babies born before 28 weeks' gestation (known as the TIPIT study, for Thyroxine supplem...
journal_title：Pediatric radiology
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1007/s00247-014-2911-6
更新日期：2014-08-01 00:00:00
abstract：:Magnetic resonance imaging (MRI) often provides better visualization of bone marrow abnormalities than computed tomography (CT) or fluoroscopy, but bone biopsies are usually performed using conventional CT or, more recently, C-arm CT guidance. Biopsies of bone lesions solely visible on MRI are often challenging to loc...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-017-3995-6
更新日期：2018-02-01 00:00:00
abstract：BACKGROUND:Pleural effusion at presentation in Hodgkin lymphoma has been associated with inferior outcome but has not been systematically evaluated. OBJECTIVE:To determine whether pleural effusion at presentation in children with Hodgkin lymphoma is a primary indicator of poor prognosis or secondary to associated fact...
journal_title：Pediatric radiology
pub_type： 杂志文章,随机对照试验
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更新日期：2018-11-01 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF01395718
更新日期：1996-01-01 00:00:00
abstract：BACKGROUND:We have previously shown that urinary bladder volume index (BVI = length x width x depth of bladder) and bladder volume wall thickness index (BVWI = BVI at full bladder/average bladder wall thickness) are useful indicators of bladder dysfunction in children with enuresis and urinary tract infection. These in...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-006-0376-y
更新日期：2007-02-01 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s002470050197
更新日期：1997-07-01 00:00:00
abstract：BACKGROUND:Late-onset noninfectious pulmonary complications (LONIPCs) are life-threatening complications of bone marrow transplantation (BMT). Several pathological patterns are described in the literature with different prognoses, and with different relationships to graft-versus-host disease (GVHD). The role of high-re...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-008-0984-9
更新日期：2008-11-01 00:00:00
abstract：:A newborn suffered immediate neonatal respiratory distress because of an obstructive, soft-tissue nasal mass. Clinical examination revealed a cleft palate with a protruding polypoid mass. CT and MRI showed a heterogeneous nasopharyngeal mass and associated intracranial abnormalities - duplication of the hypophysis and...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s002470050354
更新日期：1998-05-01 00:00:00
abstract：BACKGROUND:Optic pathway gliomas (OPGs) are common pediatric brain tumors that pose significant clinical challenges with regard to predicting which tumors are likely to become symptomatic and require treatment. These tumors can arise sporadically or in the context of the inherited cancer predisposition syndrome neurofi...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-008-1003-x
更新日期：2008-12-01 00:00:00
abstract：:In 200 unselected upper abdominal sonographies in children the hepatic venous anatomy was examined with special reference to caudal hepatic veins. In 42% of patients caudal hepatic veins could be demonstrated sonographically, while large caudal hepatic veins could be shown in 12.5% of patients. The large caudal hepati...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02343422
更新日期：1984-01-01 00:00:00
abstract：:Abdominal ultrasound was performed in 58 children presenting with proven acute hepatitis A and in 63 controls of the same age. There are well-known echographic signs of hepatitis (liver enlargement, gallbladder wall thickening, periportal hyperechogenicity) but they were not constantly found. We describe in all the he...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02019659
更新日期：1990-01-01 00:00:00
abstract：:We report a case of multifocal metachronous giant cell tumor (GCT) that involved the fibula, tibia, and sacrum of a 15-year-old boy. Multifocal GCT of bone presenting in children is an exceedingly rare phenomenon; however, there is evidence that multifocal GCT presents, on average, at a younger age than solitary GCT. ...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-004-1346-x
更新日期：2005-04-01 00:00:00
