Abusive head trauma

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This article covers traumatic brain injury in infants that are suspected to be due to abuse, AKA shaken baby syndrome and shaken-impact syndrome.

Clinical triad[1]

  • Retinal haemorrhage.
  • Subdural haemorrhage (SDH).
  • Acute encephalopathy.
    • Some say brain swelling.[2]

Pathologic triad

  • Subdural haemorrhage (SDH).
    • May be "thin film" type.
  • Nerve sheath hemorrhage[3] (pathologic correlate to retinal hemorrhage).
  • ???


Other features

Subcortical slit-like haemorrhages:[4][5]

  • Classically frontal lobe.
  • Shear force.
  • Associated with shaken baby.

See also

References

  1. ↑ Oehmichen M, Schleiss D, Pedal I, Saternus KS, Gerling I, Meissner C (September 2008). "Shaken baby syndrome: re-examination of diffuse axonal injury as cause of death". Acta Neuropathol. 116 (3): 317–29. doi:10.1007/s00401-008-0356-4. PMID 18365221.
  2. ↑ David Ramsay. 9 September 2010.
  3. ↑ PMID 18936952.
  4. ↑ URL: http://books.google.com/books?id=0tZIcDDe6bAC&pg=PA481&lpg=PA481&dq=slit+white+matter+hemorrhage&source=bl&ots=1v-PVo2cmI&sig=HCnZBVYvyst8vC-ZcXL396pTrIk&hl=en&ei=oh2JTMy-NsSqlAf78qyBDg&sa=X&oi=book_result&ct=result&resnum=1&ved=0CBEQ6AEwADgK#v=onepage&q=slit%20white%20matter%20hemorrhage&f=false. Accessed on: 9 September 2010.
  5. ↑ David Ramsay. 9 September 2010.
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