Children with shaking are at risk of developing brain injury!

Many studies have shown that among children with traumatic brain injury, about 33% are injured by shaking syndrome. Of which 8% of children died, the rest were affected by severe neurological sequelae throughout their lives.

Pon Ha Green Hospital has just received a 3-year-old child with neurological signs such as convulsions, panic, weak limbs. After a computerized tomography, the doctors found a picture of brain hemorrhage. According to doctors, this phenomenon may be due to the effects of playing, bouncing the child many times. When hospitalized, despite surgery, the patient still suffers from lifelong brain disability sequelae.

Can cause sudden death

Be cautious when giving your child strong play.(Photo: Employee)

According to Dr. Nguyen Van Phuc, Department of Imaging Diagnosis, Green Hospital, Hanoi, most of the syndrome shook in children under 2 years old. In particular, the incidence of shaking syndrome occurs highest in infants (0-6 months of age). In newborns, the head has a large weight and volume compared to the body, the muscle mass of the neck is too weak to support the head, so when shaking, it will tend to bend back and forth or rotate through. In an uncontrolled way.

The consequences can be even more severe if the head hits a certain surface like a wall, floor or bed. At that time, the child is suddenly stopped by a strong collision, resulting in the brain being twisted in the skull leading to a break in the blood vessels and nerves of the brain, brain tissue being torn off causing bleeding. brain, cerebral edema, increased intracranial pressure.

Doctor Le Thanh Hai, deputy director of the Central Children 's Hospital, said brain bleeding is the most common injury, can occur anywhere in the skull. About one third of blood flow in large numbers causes cerebral edema and cerebral anoxia, causing increased intracranial pressure, causing nerve centers to be pinched, clinical manifestations are often very severe with acute changes. Children have symptoms such as irritation, vomiting, seizures, lethargy or lethargy, weakness or paralysis, breathing disorders, bulging fontanel, large head, dilated, even sudden death.

About two-thirds of the blood flows in a small amount, or flows slowly, so that the child's brain has time to adapt, the child has no clinical symptoms or vague expression with a few non-specific symptoms such as poor eating, weight loss, mental retardation and movement, loss of ability to learn and speak, paralysis, decreased or lost vision, seizures .

Difficult to diagnose the disease

Finding brain damage caused by shaking syndrome is difficult, because most of the patient's injuries are often unclear. Dr. Le Thanh Hai recommends, absolutely not swinging strongly for young children, especially children from 0-6 months. Because injuries do not only happen in the present time but can affect in the long term.

Parents also should not have movements to change the posture of the child quickly and suddenly, such as the child lying in bed, lifting up, lifting the child up, lifting the armpit to lift the child up and down. In particular, when a child cries or does something unsatisfactory, an adult should not slap, hit the head, or commit other acts of violence.