[Shaken baby syndrome: improvement of cerebral blood flow velocity after a subdural external derivation in a six-month old infant].
The 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.
Brouh
Y
Y
Département d'anesthésie et de réanimation, CHU Timone-Enfants, Boulevard Jean-Moulin, 13385 Marseille, France.
Paut
O
O
Léna
G
G
Paz-Paredes
A
A
Camboulives
J
J
D001497:Battered Child Syndrome / Q000000981:diagnostic imaging / Q000601:surgery*; D002536:Cerebral Arteries / Q000293:injuries* / Q000601:surgery*; D002560:Cerebrovascular Circulation / Q000502:physiology*; D006801:Humans; D007223:Infant; D019586:Intracranial Hypertension / Q000209:etiology / Q000628:therapy; D008297:Male; D017585:Ultrasonography, Doppler, Transcranial; D014656:Vascular Surgical Procedures