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Ann Fr Anesth Reanim · Oct 2002
Case Reports[Shaken baby syndrome: improvement of cerebral blood flow velocity after a subdural external derivation in a six-month old infant].
- Y Brouh, O Paut, G Léna, A Paz-Paredes, and J Camboulives.
- Département d'anesthésie et de réanimation, CHU Timone-Enfants, Boulevard Jean-Moulin, 13385 Marseille, France.
- Ann Fr Anesth Reanim. 2002 Oct 1; 21 (8): 676-80.
AbstractThe shaken baby syndrome is a severe form of child abuse. The intracranial injuries are associated with a high morbidity and mortality rates. A 6 month-old healthy infant presented at home a cardiorespiratory arrest. After a cardiopulmonary resuscitation, radiological survey showed sub-dural haematomas and retinal haemorrhages, without a history of trauma. The diagnosis of shaken baby syndrome was made. Despite medical management and a fontanelle tap, clinical signs of intracranial hypertension worsened. Transcranial Doppler examination found the cerebral blood flow velocities to be decreased while the pulsatility index was increased. A sub-dural-external drainage allowed the cerebral blood flow to increase and the pulsatility index to decrease. We conclude that transcranial Doppler examination can be helpful for the clinician caring children presenting a shaken baby syndrome.
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