Shaking as a Culpable Cause of Subdural Haemorrhage in Infants

Benstead, J. G.

doi:10.1177/002580248302300403

Cited by 17 publications

(2 citation statements)

References 4 publications

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“…Dentro de este último supuesto se encuentra lo que algunos autores han llamado el "Síndrome del niño zarandeado" ("Shaking baby syndrome") (Benstead, 1983;Kottmeier, 1987;Leetsma, 1988). Esta forma de mal trato afecta sobre todo a los menores de 15 meses como consecuencia de la desproporción existente entre el relativamente gran tamaño de la cabeza en estas fases de la vida, y la débil musculatura del cuello, que lo convierte en especialmente vulnerable a las lesiones de latigazo que se producen a nivel del encéfalo al ser zarandeado, así como a los desgarros vasculares responsables de la producción del hematoma subdural y de hemorragias subaracnoideas.…”

Section: Violencia Físicaunclassified

Síndrome del niño maltratado: aspectos médico-legales

Lachica¹

2010

Cuad. med. forense

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ResumenEl maltrato infantil constituye un problema de profundas repercusiones psicológicas, sociales, éticas, jurídicas y mé-dicas. En el presente trabajo se realiza una revisión histórica, conceptual y médica del problema.Palabras clave: Maltrato infantil. Historia. Lesiones. AbstractChild abuse is a problem with serious psychological, social, ethic, legal and medical repercussions. In this paper an historical, conceptual and medical review of the problem is performed.Key words: Child abuse. History. Findings. Síndrome del niño maltratado: aspectos médico-legalesBattered child syndrome: forensic aspects Recuerdo históricoEl fenómeno que nos ocupa no es un problema nuevo, si bien hace 100 años no era considerado como tal. Tuvieron que acontecer cambios en la sensibilidad y el panorama de nuestra cultura para llegar a la concienciación de la existencia y de la magnitud del tema de los malos tratos a los niños.

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Section: Violencia Físicaunclassified

Síndrome del niño maltratado: aspectos médico-legales

Lachica¹

2010

Cuad. med. forense

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“…In some cases, shaking may be combined with the impact of the infant's head, in the so-called 'shaken-impact injury' (Bruce and Zimmerman, 1989). Typical pathological findings in the shaken baby syndrome include subarachnoid/ subdural haemorrhages (Caffey, 1972;Benstead, 1983), retinal and vitreous haemorrhages (Caffey, 1972 ;Davis et al, 2006), cerebral oedema, diffuse axonal injury (Vowles et al, 1987), diaphyseal/metaphyseal fractures of long bones, and posterior thoracic rib fractures (Lancon et al, 1998;Wecht, 1999;Donohoe, 2003;Worn and Jones, 2007). Little attention has been paid in the literature to cervical soft tissue lesions in infant victims of shaking trauma (Saternus et al, 2000).…”

Section: Introductionmentioning

confidence: 99%

Cervical soft tissue lesions in the shaken infant syndrome

Porzionato

Macchi²,

Aprile

et al. 2008

Med Sci Law

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Cervical soft tissue lesions have rarely been described in the shaken baby syndrome; they include ruptures of intervertebral discs and haemorrhages in the ligamenta flava, and in the interspinal and sternocleidomastoid muscles. We present here the autopsy case of a 30-month old girl who suffered an assault with multiple injury mechanisms, i.e., beating, sexual abuse and shaking trauma. External examination of the neck did not reveal bruises or excoriations, but cervical dissection showed haemorrhagic infiltration of the clavicular head of the sternocleidomastoid muscle, carotid region, posterior musculature of the pharynx and oesophagus, and retro-pharyngeal/oesophageal spaces. These findings were ascribed to the repeated violent movements of shaking trauma. The case presented confirms the occurrence of cervical soft tissue lesions in the shaken baby syndrome and reports injuries which have not previously been described. In suspected cases of shaken baby syndrome, particular attention must be paid to the examination of cervical soft tissue structures.

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