A Systematic Review of the Diagnostic Accuracy of Ocular Signs in Pediatric Abusive Head Trauma

A case for an in utero etiology of chronic SDH/effusion of infancy (letter)

“…Although this has been documented in literature, it is a rare finding with, in most case reports, serious outcomes either during pregnancy or after shortly after birth. [3][4][5][6] This report, however, explores no differential diagnosis for the macrocrania. One common clinical differential diagnosis for macrocrania, which also can be diagnosed prenatally, is benign enlargement of the subarachnoid space.…”

“…The author, who acknowledges serving as an expert witness in previous child abuse cases, certainly must appreciate that retinal hemorrhages are highly associated with inflicted brain injury in this age group. [2][3][4][5] Given this well-recognized association, the absence of other examinations to evaluate for additional injury in this patient is perplexing. The diagnostic workup for infants with abnormalities that could be caused by physical abuse usually includes a skeletal survey.…”

Sarsılmış bebek sendromu ve önleme programları

“…In 70-90% of the patients, unilateral or bilateral retinal bleedings are present (16,23,38,41,42,43). In a meta-analysis, it was found that retinal bleedings which developed related to non-accidental head injury were typically diffuse, symmetrical on both sides and localized in many layers posteriorly or adjacent to the ora serrata.…”

“…In a meta-analysis, it was found that retinal bleedings which developed related to non-accidental head injury were typically diffuse, symmetrical on both sides and localized in many layers posteriorly or adjacent to the ora serrata. Optic nevre sheath hemorrhage has a sensitivity of 72% and a specificity of 71% in non-accidental head injury (43). Studies have reported that there is a relation between the extend of the retinal bleeding and the severity of trauma and mortality (3,16,38).…”

Unique Pre-ß Amyloid Precursor Protein (APP-A4) Observations in Ocular Tissues from Suspected Abusive Head Trauma Victims

“…Abusive head trauma (AKA: Shaken Baby Syndrome, Shaken Impact Syndrome; Inflicted Head Injury; Whiplash Shake Syndrome, Non-Accidental Head Trauma) remains a major societal problem and is among the most controversial and complex medicolegal issues worldwide by virtue of the difficulty of achieving clear proof of criminal intent by suspected perpetrators [1,2]. In the United States, trial by jury initiated by the local district attorney is the final arbiter.…”