dc.contributor.author
Cohrs, Gesa
dc.contributor.author
Winter, Sibylle Maria
dc.contributor.author
Siska, Wiebke
dc.contributor.author
Thomale, Ulrich-Wilhelm
dc.date.accessioned
2024-08-16T09:51:16Z
dc.date.available
2024-08-16T09:51:16Z
dc.identifier.uri
https://refubium.fu-berlin.de/handle/fub188/44620
dc.identifier.uri
http://dx.doi.org/10.17169/refubium-44331
dc.description.abstract
Objective: Abusive head injury (AHI) in infancy is associated with significantly worse outcomes compared to accidental traumatic brain injury. The decision-making of the diagnosis of AHI is challenging especially if the clinical signs are not presenting as a multifactorial pattern.
Method: We present a case of isolated bilateral hygroma in which this differential diagnosis of AHI was evaluated but primarily not seen as such leading subsequently to extensive secondary AHI with fatal brain injury.
Results: The case of an 8-week-old infant with apparently isolated bilateral hygroma without any external signs of abuse and no retinal hemorrhages was interpreted in causative correlation to the perinatal complex course of delivery. At a second readmission of the case, severe brain injury with bilateral cortical hypoxia, subarachnoid and subdural hemorrhages, and skull and extremity fractures led to severe disability of the affected infant.
Conclusion: Any early suspicion of AHI with at least one factor possibly being associated with abusive trauma should be discussed in multidisciplinary team conferences to find the best strategy to protect the child. Beside clinical factors, social factors within the family household may additionally be evaluated to determine stress-related risk for traumatic child abuse. In general, prevention programs will be essential in future perspective.
en
dc.rights.uri
https://creativecommons.org/licenses/by/4.0/
dc.subject
Non-accidental traumatic brain injury
en
dc.subject
Shaken baby syndrome
en
dc.subject
Abusive head injury
en
dc.subject
Bilateral hygroma
en
dc.subject
Subduroperitoneal shunt
en
dc.subject
Hydrocephalus
en
dc.subject.ddc
600 Technik, Medizin, angewandte Wissenschaften::610 Medizin und Gesundheit::610 Medizin und Gesundheit
dc.title
Underestimating isolated bilateral hygroma as non-accidental head injury with dramatic consequences: a case presentation
dc.type
Wissenschaftlicher Artikel
dcterms.bibliographicCitation.doi
10.1007/s00381-022-05720-3
dcterms.bibliographicCitation.journaltitle
Child's Nervous System
dcterms.bibliographicCitation.number
12
dcterms.bibliographicCitation.originalpublishername
Springer Nature
dcterms.bibliographicCitation.pagestart
2429
dcterms.bibliographicCitation.pageend
2435
dcterms.bibliographicCitation.volume
38
refubium.affiliation
Charité - Universitätsmedizin Berlin
refubium.funding
Springer Nature DEAL
refubium.resourceType.isindependentpub
no
dcterms.accessRights.openaire
open access
dcterms.bibliographicCitation.pmid
36323956
dcterms.isPartOf.issn
0256-7040
dcterms.isPartOf.eissn
1433-0350