Zusammenfassung
In diesem Beitrag werden die typischen Schädel- und Hirnverletzungen bei Kindern zusammengefasst. Bei diesen bestehen im Vergleich zu Erwachsenen deutliche Unterschiede in der Ätiologie und der Reaktion der Kalotte und des Gehirns auf ein Trauma. Bezüglich der Ätiologie kann unterschieden werden in Geburtstrauma, akzidentelles und nichtakzidentelles Trauma. Die typischen Verletzungen dieser 3 Gruppen werden ausführlich beschrieben.
Abstract
This article describes typical head injuries in infants and children. In comparison with adults there are distinct differences in the etiology of trauma and in the kind of reaction of the skull and brain. In infants and children there are three different types of trauma: birth trauma, accidental and non-accidental injury. The typical injuries in these three groups are described.
Literatur
Adams H, Graham DI (1972) Pathology of blunt head injuries. In: Critchley M, O’Leary JL, Jennett B (eds) Scientific foundations of neurology. Davis, Philadelphia, pp 478–491
Aldrich EF, Eisenberg HM, Saydjari C, Luerssen TG, Foulkes MA, Jane JA, Marshall LF, Marmarou A, Young HF (1992) Diffuse brain swelling in severely head-injured children. J Neurosurg 76: 450–454
Barkovich AJ (2000) Pediatric neuroimaging, 3rd edn. Lippincott Williams & Wilkins, Philadelphia
Baum JD, Bulpitt CJ (1970) Retinal and conjunctival haemorrhage in the newborn. Arch Dis Child 45: 344–349
Bell RS, Loop JW (1971) The utility and futility of radiographic skull examination for trauma. N Engl J Med 284: 236–239
Billmire ME, Myers PA (1985) Serious head injury in infants: accident or abuse? Pediatrics 75: 340–342
Boulis ZF, Dick R, Barnes NR (1978) Head injuries in children—aetiology, symptoms, physical findings and X-ray wastage. Br J Radiol 51: 851–854
Bruce DA, Schut L, Bruno LA et al. (1978) Outcome following severe head injuries in children. J Neurosurg 48: 679–688
Bruce DA, Alavi AA, Bilaniuk L, Dolinskas C, Obrist W, Uzzell B (1981) Diffuse cerebral swelling following head injuries in children: the syndrome of „malignant brain edema“. J Neurosurg 54: 170–178
Caffey J (1946) Multiple fractures in the long bones of infants suffering from chronic subdural hematoma. AJR Am J Roentgenol 56: 163–173
Carty H, Lloyd D (1998) Commentary: head injury in children. Who needs a skull X-ray? Pediatr Radiol 28: 815–816
Centers for Disease Control (1990) Childhood injuries in the United States. Am J Dis Child 144: 627–646
Chen CY, Zimmerman RA, Rorke LB (1999) Neuroimaging in child abuse: a mechanism-based approach. Neuroradiology 41: 711–722
Cristy M (1981) Active bone marrow distribution as a function of age in humans. Phys Med Biol 26: 389–400
Dhellemmes P, Lejeune J-P, Christiaens JL, Combells G (1985) Traumatic extradural hematomas in infancy and childhood: experience with144 cases. J Neurosurg 62: 861–864
Duhaime AC, Alario AJ, Lewander WJ et al. (1992) Head injury in very young children: mechanisms. Injury types and ophthalmologic findings in 100 hospitalized patients younger than 2 years of age. Pediatrics 90: 179–185
Duhaime AC, Christian CW, Rorke LB, Zimmerman RA (1998) Nonaccidental head injury in infants—the „shaken-baby syndrome“. N Engl J Med 338: 1822–1829
Eames FA, Waldman JB (1991) CT of posttraumatic intradiploic meningocele of the skull base: a case report. AJNR Am J Neuroradiol 12: 985–987
Fiebach JB, Seitz A, Schellinger PD, Zieger B (1999) Das Schädel-Hirn-Trauma des Kindes. Radiologe 39: 463–466
Gentry LR, Godersky JC, Thompson BH (1989) Traumatic brain stem injury: MR imaging. Radiology 171: 177–187
Harwood-Nash DC (1992) Abuse to the pediatric central nervous system. AJNR Am J Neuroradiol 13: 569–575
Harwood-Nash D, Hendrick EB, Hudson AR (1971) The significance of skull fractures in children. Radiology 101: 151–155
Hayashi T, Hashimoto T, Fukuda S, Ohshima Y, Moritaka K (1987) Neonatal subdural haematoma secondary to birth injury. Child Nerv Syst 3: 23–29
Jayawant S, Rawlinson A, Gibbon F, Price J, Schulte J, Sharples P, Sibert JR, Kemp AM (1998) Subdural haemorrhages in infants: population based study. BMJ 317: 1558–1561
Johnson DL, Boal D, Baule R (1995) Role of apnea in nonaccidental head injury. Pediatr Neurosurg 23: 305–310
Kleinman PK (1990) Diagnostic imaging in infant abuse. AJR Am J Roentgenol 155: 703–712
Kleinman PK, Zito JL, Davidson RI, Raptopoulos V (1983) The subarachnoid spaces in children: normal variations in size. Radiology 147: 445–457
Lau LSW, Pike JW (1983) The computed tomographic findings of peritentorial subdural hemorrhage. Radiology 146: 699–701
Lindenberg R, Fisher RS et al. (1995) The pathology of brain in blunt head injuries of infants and children. Proceedings of the Second International Congress of Neuropathology, Amsterdam. Excerpta Med 2: 477–479
Lloyd D, Carty H, Patterson M (1997) Predictive value of skull radiography for intracranial injury in children with blunt head injury. Lancet 349: 821–824
Luerssen TG, Klauber MR, Marshall LF (1988) Outcome from head injury related to the patient’s age. J Neurosurg 68: 409–416
Masters SJ, McClean PM, Arcarese JS et al. (1987) Skull X-ray examinations after head trauma. N Engl J Med 316: 84–91
Meservy CJ, Towbin R, McLaurin RL, Myers PA, Ball W (1987) Radiographic characteristics of skull fractures resulting from child abuse. AJR Am J Roentgenol 149: 173–175
Mohanty A, Kolluri VR, Subbakrishna DK, Satish S, Mouli BA, Das BS (1995) Prognosis of extradural hematomas in children. Pediatr Neurosurg 23: 57–63
Numerow LM, Krcek JP, Wallace CJ, Tranmer BI, Auer RN, Fong TC (1991) Growing skull frakture simulating a rounded lytic calvarial lesion. AJNR Am J Neuroradiol 12: 783–784
Perrin RG, Rutka JT, Drake JM, Meltzer H, Hellman J, Jay V, Hoffman HJ, Humphreys RP (1997) Management and outcomes of posterior fossa subdural hematomas in neonates. Neurosurgery 40: 1190–1200
Osborn AG (ohne Jahr) Diagnostic neuroradiology, Mosby, St Louis
Raybaud C, Girard N, Sevely A, Leboucq N (1966) Neuroradiologie pediatrique (I). In: Raybaud C, Girard N, Sevely A, Leboucq N (eds) Radiodiagnostic-neuroradiologie-appariel locomoteur. Elsevier, Paris, p 26
Reilly PL, Graham DI, Adams JH, Jennett B (1975) Patients with head injury who talk and die. Lancet 1975: 375–377
Rivara FP, Kamitsuka MD, Quan L (1988) Injuries to children younger than one year of age. Pediatrics 81: 93–97
Rutherford M (2002) MRI of the neonatal brain. Saunders, Philadelphia
Sato Y, Yuh WT, Smith WL, Alexander RC, Kao SC, Ellerbroek CJ (1989) Head injury in child abuse: evaluation with MR imaging. Radiology 173: 653–657
Sevitt S (1973) Fatal road accidents in Birmingham: times to death and their causes. Injury 4: 281–293
Shugerman RP, Paez A, Grossman DC, Feldman KW, Grady MS (1996) Epidural hemorrhage: is it abuse? Pediatrics 97: 664–668
Steiner S, Riebel T, Nazarenko O, Bassir C, Steger W, Vogl T, Felix R (1996) Schädeltrauma im Kindesalter: Vergleich der Sonographie mit konventionellen Röntgenaufnahmen und der Computertomographie. Rofo Fortschr Geb Rontgenstr Neuen Bildgeb Verfahr 165: 353–358
Thorp JA, Poskin MF, McKenzie DR, Heimes B (1997) Perinatal factors predicting severe intracranial hemorrhage. Am J Perinatol 14: 631–636
Turetschek K, Wunderbaldinger P, Zontsich T (1998) Trauma des Gesichtsschädels und der Schädelkalotte. Radiologe 38: 645–658
Wiesmann M, Brückmann H (1998) Bildgebende Diagnostik akuter Schädel-Hirn-Verletzungen. Radiologe 38: 645–658
Zimmerman RA, Bilaniuk LT, Genneralli T (1978) Computed tomography of pediatric head trauma: acute general cerebral swelling. Radiology 126: 403–408
Zimmerman RA, Bilaniuk LT, Genneralli T (1978) Computed tomography of shearing injuries of the cerebral white matter. Radiology 127: 393–396
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Struffert, T., Grunwald, I. & Reith, W. Schädel- und Hirntrauma im Kindesalter. Radiologe 43, 967–976 (2003). https://doi.org/10.1007/s00117-003-0966-8
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DOI: https://doi.org/10.1007/s00117-003-0966-8