Incidence of Impact Trauma With Cranial Injuries Ascribed to Shaking
- 1 June 1990
- journal article
- research article
- Published by American Medical Association (AMA) in Archives of Pediatrics & Adolescent Medicine
- Vol. 144 (6), 724-726
- https://doi.org/10.1001/archpedi.1990.02150300124032
Abstract
• Shaking as a mechanism of severe brain injury in infants has been challenged on a theoretical basis as insufficient to explain the magnitude of observed injuries. Computed tomography and magnetic resonance imaging, developed since shaken baby syndrome was first described, are helpful in establishing whether external trauma occurred for infants thought to have been shaken. We compiled data from 24 infants initially diagnosed as having shaken baby syndrome, including physical examination, roentgenograms, computed tomography or magnetic resonance imaging, and autopsy (when applicable). Half of the patients showed no evidence of direct impact, and evidence of external trauma was not predictive of a fatal outcome. These findings indicate that shaking by itself is sufficient to cause severe or fatal intracranial injury and that the shaken baby syndrome reflects a spectrum of such child abuse injuries that may include direct trauma or only shaking. (AJDC. 1990;144:724-726)Keywords
This publication has 8 references indexed in Scilit:
- Head injury in child abuse: evaluation with MR imaging.Radiology, 1989
- Shaken Impact SyndromePediatric Annals, 1989
- Radiologic Contributions to the Investigation and Prosecution of Cases of Fatal Infant AbuseNew England Journal of Medicine, 1989
- Head Trauma Due to Child Abuse Serial: Computerized Tomography in Diagnosis and ManagementSouthern Medical Journal, 1987
- Magnetic resonance imaging of intracranial injuries from child abuseThe Journal of Pediatrics, 1986
- Death-Scene Investigation in Sudden Infant DeathNew England Journal of Medicine, 1986
- Retinal hemorrhage after cardiopulmonary resuscitation or child abuseThe Journal of Pediatrics, 1986
- Shaken baby syndrome: A review of 20 casesAnnals of Emergency Medicine, 1984