Desnutrición como signo de alarma de maltrato físico

  1. E. Cid París
  2. G. Galicia Poblet
  3. Gema Arriola Pereda
  4. A. Aldea Romero
  5. M.E. Rubio Jiménez
  6. J. M. Jiménez Bustos
Revista:
Revista española de pediatría: clínica e investigación

ISSN: 0034-947X

Año de publicación: 2010

Volumen: 66

Número: 3

Páginas: 197-199

Tipo: Artículo

SCOPUS: 2-s2.0-77953571320 DIALNET GOOGLE SCHOLAR

Otras publicaciones en: Revista española de pediatría: clínica e investigación

Resumen

Shaken baby syndrome describes the coincidence of subdural hematoma, retinal bleeding and, disadvantageous for the prognosis, diffuse brain damage caused by powerful shaking of the infant. The clinical symptoms include irritability, somnolence, apathy, cerebral cramp attacks, apnoea, temperature regulation disorders and vomiting due to cranial pressure. Milder symptoms of shaken baby syndrome are often not diagnosed and the number of unregistered cases is probably much greater. The diagnosis of shaken baby syndrome is made through the typical symptom constellation, but the lack of retinal bleeding does not exclude the diagnosis. The injurious mechanism is considered to be caused by rotational forces which force tissue layers in the brain against each other and also lead to rupture of bridging veins between the skull and the brain. We report a case of an infant with malnutrition and shaken baby syndrome.

Referencias bibliográficas

  • Johnson CF. Maltrato y abandono. En: Nelson Tratado de Pediatría. 18a edición. Madrid: Mc GrawHill-Interamericana. p. 171-184.
  • Casas F. Traumatismos craneoencefálicos. En: Protocolos de la AEP 2008; 17: 118-128.
  • Ríos A, Casado-Flores J, Jimenez AB, et al. Maltrato infantil grave en la unidad de cuidados intensivos. An Pediatr. 2009; 71: 64-67.
  • Trenchs V, Curcoy Al, Navarro R, Pou J. Subdural haematomas and physical abuse in the first two years of life. Pediatr Neurosurg. 2007; 43: 352-7.
  • Pou J. Maltraato infantil. Actuación en urgencias. En: Protocolos de la AEP 2008; 19: 211-217.
  • Caputo G, de Haller R, Metge F, et al. Ischemic retinopathy and neovascular proliferation secundary to shaken baby syndrome. Retina. 2009; 3: 42-46.
  • Keenan HT, Runyan DK, Marshall SW, et al. A population based comparison of clinical and outcome characteristics of young children with serious inflicted and noninflicted traumatic brain injury. Pediatrics. 2004; 114: 633-9.
  • Sabaté A, Sancosmed M, Cebrián R, et al. Sospecha de maltrato infantil en urgencias pediátricas. An Pediatr. 2009; 71: 60-63.
  • Gilbert R, Widom CS, Browne K, et al. Burden and consequences of child maltreatment in high-income countries. Lancet. 2009; 373: 68-81.
Fuente de los datos: Dialnet