TY  - JOUR
PY  - 2020//
TI  - Abusive head traumas in 4 infants
JO  - Korean journal of neurotrauma
A1  - Lee, Won Jae
A1  - Lim, Yong Cheol
A1  - Yoon, Soo Han
SP  - 246
EP  - 253
VL  - 16
IS  - 2
N2  - Pediatric abusive head trauma (AHT) is a serious, repeated child abuse that causes grave brain damage. In Korea, AHT cases have been reported rarely, especially infants. We present 4 cases of AHT in infants diagnosed in our institution during last 2 years. We collected the demographic data, ophthalmologic examination, imaging study, and outcomes. The mean age was 7.2 months, and 2 infants were girls and the others were boys. All four were admitted with no history of head trauma, and among them 2 patients presented with an episode of seizure and respiratory arrest with no history of head trauma. The initial mental status was semi-coma in 3 cases, and stupor in 1 case. There were multiple retinal hemorrhages in both eyes in 2 cases; one had multiple old fractures on the extremities and another child showed multiple skull fractures. All patients underwent emergent surgery for acute bilateral subdural hemorrhages; 3 had craniotomy and another had burr-hole drainage. Two children expired and the other 2 are in vegetative status. The AHT has recently become more frequent in Korea so that neurosurgeons must alert AHT even in infants with head trauma.<p />  <p>Language: en</p>
LA  - en
SN  - 2234-8999
UR  - http://dx.doi.org/10.13004/kjnt.2020.16.e30
ID  - ref1
ER  -