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ECR 2019 / C-3147
Neuroimaging findings in children with abusive head trauma
Congress: ECR 2019
Poster No.: C-3147
Type: Educational Exhibit
Keywords: MR, CT, Trauma, Paediatric, Head and neck, Diagnostic procedure, Blood, Ischaemia / Infarction
Authors: M. C. Planells Alduvin1, K. Mankad2; 1Alicante, Alicante/ES, 2LS1 3EX/UK
DOI:10.26044/ecr2019/C-3147

Conclusion

  1. AHT is the current most appropriate and inclusive diagnostic term for infants and young children who suffer from inflicted intracranial and spinal injuries.
  2. No single lesion is diagnostic of AHT. Rather, the multiplicity of findings, including evidence of intracranial and spinal involvement, complex retinal hemorrhages, ribs and other fractures incompatible with the mechanism of trauma provided, as well as the severity and age of the findings, provide clues to the diagnosis.
  3. The radiologist plays an important role in the detection and diagnosis of AHT due to the nonspecific clinic in this scenario and may be the one to raise the suspicion in these patients that often develop severely impairing sequelae.
  4. Every children suspected of having AHT should be evaluated to detect other diseases that may present similar findings.
  5. Subdural hematoma is the most frequently identified intracranial lesion, but the cerebral parenchymal lesion is the most important cause of morbidity and mortality in this context.

 

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