[Abusive head trauma. A review of our experience].
| Autor: | Félez-Moliner I; HUMS. Hospital Universitario Miguel Servet, Zaragoza, España., García-Íñiguez JP; HUMS. Hospital Universitario Miguel Servet, 50009 Zaragoza, España., Lafuente-Hidalgo M; HUMS. Hospital Universitario Miguel Servet, 50009 Zaragoza, España., López-Pisón J; HUMS. Hospital Universitario Miguel Servet, 50009 Zaragoza, España. |
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| Jazyk: | Spanish; Castilian |
| Zdroj: | Revista de neurologia [Rev Neurol] 2022 Jan 01; Vol. 74 (1), pp. 15-21. |
| DOI: | 10.33588/rn.7401.2021238 |
| Abstrakt: | Introduction: Abusive head trauma (AHT) is defined as an injury to the skull or intracranial contents due to inflicted blunt impact and/or shaking. It is characterized by the triad: encephalopathy, retinal haemorrhages and subdural hematoma. The main objective is to know the epidemiological, clinical and radiological characteristics; as well as the short and long term outcomes of patients diagnosed with AHT. Patients and Methods: It is a descriptive, observational and retrospective study of the 19 patients diagnosed with AHT at a tertiary hospital from 1990 to 2018, both included. Results: The mean age of the patients was 5,5 months with parity between both sexes. The principal medical histories reported were: absence of trauma (n = 9), history of a short fall (n = 6) and shaking (n = 4). The most frequent initial presentation was severe, and seizures was the main symptom (n = 8). Retinal haemorrhages were present in fifteen patients and subdural hematoma or hygroma in fifteen patients. Two patients died, seven presented short-term outcomes, and ten of the twelve patients who were performed a follow-up presented long-term outcomes. These outcomes were manifested as cognitive or behavioural disorders (n = 5) or as neurological disorders (n = 6). Conclusions: The epidemiological, clinical and radiological characteristics found are very similar to those reported in the literature. The prevalence of outcomes is high and they appear as cognitive or behavioural disorders. |
| Databáze: | MEDLINE |
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