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Journals / Ulusal Travma ve Acil Cerrahi Dergisi / 2013 / Cilt: 19 - Sayı: 3

İstismara bağlı kafa travması: 3 olgu sunumu

Abusive head trauma: report of 3 cases

Nilgün ÇAYLAN DEMİRLİ
Gonca YILMAZ
Resmiye ORAL
CAN DEMİR KARACAN
Pelin ZORLU
Pages
261–266
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

It is important to provide training on AHT to staff involved in the management of these cases.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Abusive head trauma (AHT) is perpetrated when an infant or young child is shaken violently by an abuser, resulting in injuries to various intracranial structures, historically called “shaken baby syndrome” (SBS).
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Key Findings & Data:Case 1- Three-month-old female infant was admitted with recurrent seizures, drowsiness, and low grade fever.
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Conclusion & Impact:It is important to provide training on AHT to staff involved in the management of these cases.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Abusive head trauma (AHT) is perpetrated when an infant or young child is shaken violently by an abuser, resulting in injuries to various intracranial structures, historically called “shaken baby syndrome” (SBS). Three cases of AHT with different constellations of clinical symptoms are presented here. Case 1- Three-month-old female infant was admitted with recurrent seizures, drowsiness, and low grade fever. Ophthalmologic examination revealed retinal hemorrhages (RH) in the left eye. Computed tomography of cranium showed left frontal intra-parenchymal subdural hematoma (SDH). Case 2- Twelve-monthold male infant was admitted with a history of favoring left leg. Ophthalmologic examination revealed RH in the right eye. Cranial magnetic resonance imaging (MRI) revealed subacute SDH in the right frontoparietal region. Case 3- Three-month-old male infant was admitted with irritability and seizures. Ophthalmologic examination revealed bilateral disseminated RH. Cranial MRI scan showed bilateral frontoparietal subacute SDH. All cases were reported to Child Protective Services, who decided not to remove children from homes, but evaluated psychosocial risks and developed a safety plan, including home visits and family education. Physicians must be aware of possibility of AHT in infants presenting both subtle and overt neurologic symptoms. It is important to provide training on AHT to staff involved in the management of these cases.

Özet

İstismara bağlı kafa travmasının bir formu, süt çocuğu veya küçük bir çocuğun istismarcı tarafından şiddetle sarsılması ile ortaya çıkan, çeşitli intrakraniyal yapıların zedelenmesi ile sonuçlanan, tarihi adıyla “sarsılmış bebek sendromu”dur (SBS). Burada farklı klinik özellikleri olan 3 istismara bağlı kafa travması olgusu sunuldu. Olgu 1- Üç aylık kız bebek tekrarlayan nöbetler, uyuklama ve düşük derecede ateş yakınmaları ile kabul edildi. Oftalmolojik incelemede sol gözde retinal hemoraji (RH) saptandı. Kraniyal bilgisayarlı tomografi ile sol frontal bölgede intra- parankimal subakut subdural hematom (SDH) gösterildi. Olgu 2- On iki aylık erkek bebek sol bacağının üzerine basamama yakınması ile kabul edildi. Oftalmolojik incele- mede sağ gözde RH saptandı. Kraniyal manyetik rezonans görüntüleme (MRG) ile sağ frontoparyetal bölgede suba- kut SDH gösterildi. Olgu 3- Üç aylık erkek bebek irritabil- te ve nöbet geçirme yakınmaları ile kabul edildi. Oftalmo- lojik incelemede iki taraflı yaygın RH saptandı. Kraniyal MRG ile iki taraflı frontoparyetal bölgede subakut SDH gösterildi. Olguların tümü, Çocuk Koruma Servisi’ne bildirildi ki bu servis psikososyal riskleri değerlendirerek ev ziyaretleri ve aile eğitimini içeren güvenli bir plan yaparak çocukları ailelerinden ayırmamaya karar verdi. Hekimler sinsi veya aşikar nörolojik semptomlarla başvuran süt çocuklarında istismara bağlı kafa travması olasığının farkında olmalıdırlar. Bu olguların yönetiminde rol alan tüm personele istismara bağlı kafa travması konusunda eğitim verilmesi önemlidir.

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Cite This Article

DEMİRLİ, N. Ç., YILMAZ, G., ORAL, R., KARACAN, C. D., ZORLU, P. (2013). İstismara bağlı kafa travması: 3 olgu sunumu. Ulusal Travma ve Acil Cerrahi Dergisi, Cilt: 19 - Sayı: 3, 261–266. https://ajindex.com/articles/323906

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