Traumatic asphyxia, or Perthes syndrome, in children

Traumatic asphyxia, known also as Perthes syndrome, is a clinical entity associating cervicofacial cyanosis, petechia, subconjunctival hemorrhage and neurological symptoms. This syndrome appears after severe and transient direct compressive chest injury. A valsalva maneuver is required before thoracic compression for the development of this syndrome. The treatment includes rapid chest decompression and cardiopulmonary resuscitation. The prognosis is favorable but a prolonged thoracic compression could lead to cerebral anoxia and neurological sequel. We report four cases of Perthes syndrome in children recorded in our department with a good prognosis