Shaken baby syndrome is real

Strouse, Peter J.

doi:10.1007/s00247-018-4158-0

Cited by 20 publications

(14 citation statements)

References 64 publications

(50 reference statements)

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“…Although this 'triad' is not absolutely diagnostic of child abuse, it is highly suggestive of the diagnosis." 348 Within a longer discussion in a section titled "How the diagnosis is made," the Statement says essentially the same thing. 349 The Statement emphasizes that physicians diagnosing SBS/AHT consider the patient's history.…”

Section: The Diagnosis Continues and Remains Unreliablementioning

confidence: 99%

Outside the Echo Chamber: A Response to the 'Consensus Statement on Abusive Head Trauma in Infants and Young Children'

Papetti

Kaneb

Herf³

2019

SSRN Journal

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† In drafting this article, the authors consulted with physicians from several specialties (e.g., emergency medicine, forensic pathology, pediatrics, and radiology) to ensure the article uses medical terminology accurately and canvasses the relevant medical literature sufficiently. But, as this paper discusses, the issues surrounding the SBS/AHT controversy matter principally for legal, not medical, purposes. Lawyers present and debate the evidence regarding the diagnosis in court cases; judges decide whether, given the controversy, such evidence is sufficiently reliable to be admitted; and judges and jurors must evaluate testimony based on the diagnosis and decide what weight to give to it. Although the terminology and medical concepts can be daunting to lawyers and judges new to the subject, persons with legal training are fit to evaluate the evidence underlying the diagnosis and, ultimately, judges are obligated to determine what role the controversial diagnosis may play in legal proceedings. * Partner, Lewis Roca Rothgerber Christie LLP.

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Section: The Diagnosis Continues and Remains Unreliablementioning

confidence: 99%

Outside the Echo Chamber: A Response to the 'Consensus Statement on Abusive Head Trauma in Infants and Young Children'

Papetti

Kaneb

Herf³

2019

SSRN Journal

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“…The oversimplified lung cancer example is a useful way of illustrating circular reasoning and the risk of bias if any shaken baby diagnosis follows the basic assumptions regarding the triad. However, several authors have pointed out that child protection teams and similar teams perform comprehensive evaluations of cases where an infant is suspected of having been violently shaken . It has also been claimed that such teams have never based their determination solely on the triad .…”

Section: Circular Reasoning In Shaken Baby Syndromementioning

confidence: 99%

“…However, several authors have pointed out that child protection teams and similar teams perform comprehensive evaluations of cases where an infant is suspected of having been violently shaken . It has also been claimed that such teams have never based their determination solely on the triad . However, a 2018 paper shows that the triad has played a significant role when diagnosing shaken baby syndrome, at least until recently .…”

Section: Circular Reasoning In Shaken Baby Syndromementioning

confidence: 99%

A diagnostic test can prove anything if you use incorrect assumptions and circular reasoning

Lynøe

Eriksson

2018

Acta Paediatrica

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“…Incidence of AHT is established as 14-40 per 100,000 children under the age of 1 year [15]. Diagnosis is not straightforward, and it is based on a multidisciplinary approach with the involvement of several expert professionals in recognizing this kind of abuse [18]. Obviously, antemortem diagnosis is essential to provide the right treatment to the abused infant and to prevent further episodes; similarly, postmortem diagnosis occupies a prominent place, given the mortality rate of AHT ranging from 15% to 38% [1], with the aim of condemning the perpetrator and preventing him from causing the same injuries to other potential victims.…”

Section: Introductionmentioning

confidence: 99%

Shaken Baby Syndrome: Magnetic Resonance Imaging Features in Abusive Head Trauma

et al. 2021

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In the context of child abuse spectrum, abusive head trauma (AHT) represents the leading cause of fatal head injuries in children less than 2 years of age. Immature brain is characterized by high water content, partially myelinated neurons, and prominent subarachnoid space, thus being susceptible of devastating damage as consequence of acceleration–deceleration and rotational forces developed by violent shaking mechanism. Diagnosis of AHT is not straightforward and represents a medical, forensic, and social challenge, based on a multidisciplinary approach. Beside a detailed anamnesis, neuroimaging is essential to identify signs suggestive of AHT, often in absence of external detectable lesions. Magnetic resonance imaging (MRI) represents the radiation-free modality of choice to investigate the most typical findings in AHT, such as subdural hematoma, retinal hemorrhage, and hypoxic-ischemic damage and it also allows to detect more subtle signs as parenchymal lacerations, cranio-cervical junction, and spinal injuries. This paper is intended to review the main MRI findings of AHT in the central nervous system of infants, with a specific focus on both hemorrhagic and non-hemorrhagic injuries caused by the pathological mechanisms of shaking. Furthermore, this review provides a brief overview about the most appropriate and feasible MRI protocol to help neuroradiologists identifying AHT in clinical practice.

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Shaken baby syndrome is real

Cited by 20 publications

References 64 publications

Outside the Echo Chamber: A Response to the 'Consensus Statement on Abusive Head Trauma in Infants and Young Children'

Outside the Echo Chamber: A Response to the 'Consensus Statement on Abusive Head Trauma in Infants and Young Children'

A diagnostic test can prove anything if you use incorrect assumptions and circular reasoning

Shaken Baby Syndrome: Magnetic Resonance Imaging Features in Abusive Head Trauma

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