Abstract
AbstractIn infants without a history of trauma, subdural haemorrhages should raise the concern for an abusive head injury, particularly when they are associated with bridging vein clotting/rupture or with septations. However, non-haemorrhagic, fluid-appearing subdural collections (also called hygromas) may also be the result of abuse. Subdural collections have also been uncommonly observed in patients with benign enlargement of the subarachnoid spaces (BESS) and a few large-scale studies accurately investigate the incidence and the significance. Currently, there is a wide variation of practices in children with BESS and subdural collections. Due to the social risks associated with abuse evaluation and the perceived risk of radiation exposure, there might be a reluctance to fully evaluate these children in some centres. The diagnosis of physical abuse cannot be substantiated nor safely excluded in infants with BESS and subdural collection(s), without investigation for concomitant traumatic findings. The exact prevalence of occult injuries and abuse in these infants is unknown. In macrocephalic infants with subdural collections and imaging features of BESS, thorough investigations for abuse are warranted and paediatricians should consider performing full skeletal surveys even when fundoscopy, social work consult, and detailed clinical evaluation are unremarkable.
Publisher
Springer Science and Business Media LLC
Subject
Radiology, Nuclear Medicine and imaging,Pediatrics, Perinatology and Child Health
Reference70 articles.
1. Wiig US, Zahl SM, Egge A et al (2017) Epidemiology of benign external hydrocephalus in Norway-a population-based study. Pediatr Neurol 73:36–41
2. Khosroshahi N, Nikkhah A (2018) Benign enlargement of subarachnoid space in infancy: a review with emphasis on diagnostic work-up. Iran J Child Neurol 12:7–15
3. Head circumference velocity https://www.who.int/tools/child-growth-standards/standards/head-circumference-velocity. Accessed 21 Nov 2022
4. Alvarez LA, Maytal J, Shinnar S (1986) Idiopathic external hydrocephalus: natural history and relationship to benign familial macrocephaly. Pediatrics 77:901–907
5. Castro-Gago M, Pérez-Gómez C, Novo-Rodríguez MI et al (2005) Hidrocefalia externa idiopática benigna (efusión subdural benigna) en 39 niños: evolución natural y relación con la macrocefalia familiar [Benign idiopathic external hydrocephalus (benign subdural collection) in 39 children: its natural history and relation to familial macrocephaly]. Rev Neurol 40:513–517
Cited by
2 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献