The Shaken Baby Syndrome: An Odyssey  -II Origins and Further Hypotheses-

Uscinski, Ronald H.; McBride, Dennis K.

doi:10.2176/nmc.48.151

Cited by 8 publications

(2 citation statements)

References 24 publications

(26 reference statements)

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“…Rebleeding into an old subdural hemorrhage has been cited as a possible explanation for apparent abusive head trauma (72). The old hemorrhage could be the result of prior abuse or a noninflicted injury, including birth trauma (73,74).…”

Section: Spontaneous Rebleeding Of Subdural Hemorrhagementioning

confidence: 99%

Child Abuse and Neglect

2011

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It is important for surgeons to be able to accurately assess and diagnose child abuse. While they are generally not the only medical professionals involved in the care of children with suspected abuse, they are highly regarded by hospital and social service staff, and their input regarding the cause of injury is unlikely to be ignored. Appropriate diagnosis of abusive injury can prevent future morbidity and mortality in these vulnerable patients, and can also reduce the trauma to families from false accusations of abuse. A sensitive and open-ended history, thorough physical examination, appropriate diagnostic workup with consideration of child abuse as an underlying cause, appropriate documentation of findings, and determination of safety for discharge can greatly improve an abused child's current and future health and safety.

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Section: Spontaneous Rebleeding Of Subdural Hemorrhagementioning

confidence: 99%

Child Abuse and Neglect

2011

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“…Shaken baby syndrome (SBS) is a term that may be potentially misunderstood or misrepresented 1–3 . The consensus concerning SBS for which the biomechanical mechanisms have yet to be ascertained, is approximately divided into “pure shaking” and “shaking impact”.…”

mentioning

confidence: 99%

Shaking‐related child abuse: Vigorous shaking of pram

Nambu

Nasu

Nishimura

et al. 2012

Pediatrics International

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Consensus statement on abusive head trauma in infants and young children

et al. 2018

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Abusive head trauma (AHT) is the leading cause of fatal head injuries in children younger than 2 years. A multidisciplinary team bases this diagnosis on history, physical examination, imaging and laboratory findings. Because the etiology of the injury is multifactorial (shaking, shaking and impact, impact, etc.) the current best and inclusive term is AHT. There is no controversy concerning the medical validity of the existence of AHT, with multiple components including subdural hematoma, intracranial and spinal changes, complex retinal hemorrhages, and rib and other fractures that are inconsistent with the provided mechanism of trauma. The workup must exclude medical diseases that can mimic AHT. However, the courtroom has become a forum for speculative theories that cannot be reconciled with generally accepted medical literature. There is no reliable medical evidence that the following processes are causative in the constellation of injuries of AHT: cerebral sinovenous thrombosis, hypoxic-ischemic injury, lumbar puncture or dysphagic choking/vomiting. There is no substantiation, at a time remote from birth, that an asymptomatic birth-related subdural hemorrhage can result in rebleeding and sudden collapse. Further, a diagnosis of AHT is a medical conclusion, not a legal determination of the intent of the perpetrator or a diagnosis of murder. We hope that this consensus document reduces confusion by recommending to judges and jurors the tools necessary to distinguish genuine evidence-based opinions of the relevant medical community from legal arguments or etiological speculations that are unwarranted by the clinical findings, medical evidence and evidence-based literature.

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The Shaken Baby Syndrome: An Odyssey -II Origins and Further Hypotheses-

Cited by 8 publications

References 24 publications

Child Abuse and Neglect

Child Abuse and Neglect

Shaking‐related child abuse: Vigorous shaking of pram

Consensus statement on abusive head trauma in infants and young children

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