Das Schütteltrauma

Kernaussagen

• Je eher bei unspezifischer Symptomatik an ein Schütteltrauma gedacht wird, desto eher kann eine adäquate Diagnostik und Therapie eingeleitet werden.

• Diagnostik und Therapie sind interdisziplinär und richten sich nach der akuten Symptomatik.

• Die Basisdiagnostik umfasst neben Anamnese und aktuellem Status stets angepasste Laboruntersuchungen, eine Fundoskopie und eine zerebrale Bildgebung mit CT und/oder MRT.

• Subdurale Blutungen, die mit Netzhautblutungen und Rippenfrakturen einhergehen, sind pathognomonisch für ein schweres Schütteltrauma.

• Eine frühzeitige Verlegung in ein Klinikum der Maximalversorgung ist ratsam.

• Ein rasches rechtsmedizinisches Konsil ist indiziert.

• Eine perinatale Elternaufklärung ist eine effektive Maßnahme zur Prävention des Schütteltraumas.

• Literatur

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