[Multiple chronic subdural hematoma in shaken-baby syndrome].
We described a case of shaken-baby syndrome with multiple chronic subdural hematomas. A 10-month-old male baby was admitted to our hospital because of loss of consciousness and convulsions. CT scan revealed an acute subarachnoid hemorrhage extending into the interhemispheric fissure and supracerebellar space. The patient was treated conservatively, and discharged from the hospitaL Two months after ictus, a baby was admitted to our hospital with general fatigue. CT scan demonstrated multiple chronic subdural hematomas. Burr hole irrigation and drainage brought about complete disappearance of these lesions. Retrospectively, it was found that these multiple subdural hematomas were due to shaken-baby syndrome. Shaken-baby syndrome is a form of child abuse that can cause significant head injury, and subdural hematoma is the most common manifestation. It is well known that the outcome of shaken-baby syndrome is generally not good. It is important to suspect shaken-baby syndrome when a chronic subdural hematoma is seen in a baby.
Haga
Sei
S
Department of Neurosurgery, Saga Prefectural Hospital Koseikan. haga32@kyushu-ctr-hsp.co.jp
Ishido
Katsuya
K
Inada
Nariyasu
N
Sakata
Shuji
S
D002649:Child Abuse / Q000517:prevention & control; D020200:Hematoma, Subdural, Chronic / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007223:Infant; D008297:Male; D038642:Shaken Baby Syndrome / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D014057:Tomography, X-Ray Computed