Épanchement péricérébral idiopathique du nourrisson: simple variante anatomique ou facteur de risque hémorragique?

Gout, Ariel; Gautier, Isabelle; Bellaïche, M.; Pinard, JM; Tremon, M; Foucaud, P.

doi:10.1016/s0929-693x(97)86096-4

Cited by 12 publications

(8 citation statements)

References 11 publications

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“…All the seven infants in the BEH‐like group had radiological characteristics compatible with BEH complicated by a chronic SDH/hygroma. The predisposition for SDH/hygroma is well‐known in infants with BEH 6‐20 . Lee et al 11 demonstrated this predisposition in almost 10% of their infants with benign extracerebral fluid collection.…”

Section: Discussionmentioning

confidence: 99%

Re‐evaluation of medical findings in alleged shaken baby syndrome and abusive head trauma in Norwegian courts fails to support abuse diagnoses

et al. 2021

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Section: Discussionmentioning

confidence: 99%

Re‐evaluation of medical findings in alleged shaken baby syndrome and abusive head trauma in Norwegian courts fails to support abuse diagnoses

et al. 2021

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“…In short, the neuroimaging in these infants appeared to be more compatible with BEH complicated by CSDH/SDHy, a phenomenon that is well-known in infants with BEH [3,4,21,23,26,31,35,44,45,47,48,52,55,59,67,69], than an acute traumatic event. CSDHs, rather than acute haemorrhage, may also be the result of previous injuries.…”

Section: Subdural Haematomas and Hygromasmentioning

confidence: 70%

“…This extra-axial fluid, which possibly is a reminiscent of birth-related SDH/subdural hygroma (SDHy), is usually chronic with small volumes of fresh blood, a key feature in the radiological diagnosis of SBS/AHT, but also a common complication to BEH. [4,21,23,26,31,34,35,44,45,47,48,52,55].…”

Section: Introductionmentioning

confidence: 99%

Is external hydrocephalus a possible differential diagnosis when child abuse is suspected?

Scheller¹,

Wester

2021

Acta Neurochir

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Background Criteria for diagnosing abusive head trauma (AHT) or “shaken baby syndrome” are not well defined; consequently, these conditions might be diagnosed on failing premises. Methods The authors have collected a total of 28 infants, from the US (20) and Norway (8), suspected of having been violently shaken, and their caregivers had been suspected, investigated, prosecuted or convicted of having performed this action. Among 26 symptomatic infants, there were 18 boys (69%) and 8 girls (31%)—mean age 5.1 month, without age difference between genders. Results Twenty-one of 26 symptomatic children (81%) had a head circumference at or above the 90 percentile, and 18 had a head circumference at or above the 97 percentile. After macrocephaly, seizure was the most frequent initial symptom in 13 (50%) of the symptomatic infants. Seventeen (65%) of the symptomatic infants had bilateral retinal haemorrhages, and two had unilateral retinal haemorrhages. All infants had neuroimaging compatible with chronic subdural haematomas/hygromas as well as radiological characteristics compatible with benign external hydrocephalus (BEH). Conclusions BEH with subdural haematomas/hygromas in infants may sometimes be misdiagnosed as abusive head trauma. Based on the authors’ experience and findings of the study, the following measures are suggested to avoid this diagnostic pitfall: medical experts in infant abuse cases should be trained in recognising clinical and radiological BEH features, clinicians with neuro-paediatric experience should always be included in the expert teams and reliable information about the head circumference development from birth should always be available.

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“…Several studies have shown an increased risk of subdural hematomas in children with external hydrocephalus after minimal or no known head trauma [12, 67, 78, 83, 95, 113, 117, 129, 136, 141]. …”

Section: Resultsmentioning

confidence: 99%

Benign external hydrocephalus: a review, with emphasis on management

et al. 2011

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Benign external hydrocephalus in infants, characterized by macrocephaly and typical neuroimaging findings, is considered as a self-limiting condition and is therefore rarely treated. This review concerns all aspects of this condition: etiology, neuroimaging, symptoms and clinical findings, treatment, and outcome, with emphasis on management. The review is based on a systematic search in the Pubmed and Web of Science databases. The search covered various forms of hydrocephalus, extracerebral fluid, and macrocephaly. Studies reporting small children with idiopathic external hydrocephalus were included, mostly focusing on the studies reporting a long-term outcome. A total of 147 studies are included, the majority however with a limited methodological quality. Several theories regarding pathophysiology and various symptoms, signs, and clinical findings underscore the heterogeneity of the condition. Neuroimaging is important in the differentiation between external hydrocephalus and similar conditions. A transient delay of psychomotor development is commonly seen during childhood. A long-term outcome is scarcely reported, and the results are varying. Although most children with external hydrocephalus seem to do well both initially and in the long term, a substantial number of patients show temporary or permanent psychomotor delay. To verify that this truly is a benign condition, we suggest that future research on external hydrocephalus should focus on the long-term effects of surgical treatment as opposed to conservative management.

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Épanchement péricérébral idiopathique du nourrisson: simple variante anatomique ou facteur de risque hémorragique?

Cited by 12 publications

References 11 publications

Re‐evaluation of medical findings in alleged shaken baby syndrome and abusive head trauma in Norwegian courts fails to support abuse diagnoses

Re‐evaluation of medical findings in alleged shaken baby syndrome and abusive head trauma in Norwegian courts fails to support abuse diagnoses

Is external hydrocephalus a possible differential diagnosis when child abuse is suspected?

Benign external hydrocephalus: a review, with emphasis on management

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