4/14/2024 0 Comments Signs of head trauma in babyPurtscher retinopathy in the battered child syndrome. Comparison of the characteristics of retinal hemorrhages in abusive head trauma versus normal vaginal delivery. Determining the tractional forces on vitreoretinal Interface using a computer simulation model in abusive head trauma. Suh DW, Song HH, Mozafari H, Thoreson WB. A systematic review of the diagnostic accuracy of ocular signs in pediatric abusive head trauma. 2005 26(3):199–212.īhardwaj G, Chowdhury V, Jacobs MB, Moran KT, Martin FJ, Coroneo MT. Case analysis of brain-injured admittedly shaken infants: 54 cases, 1969-2001. Analysis of perpetrator admissions to inflicted traumatic brain injury in children. Starling SP, Patel S, Burke BL, Sirotnak AP, Stronks S, Rosquist P. 2006 10(2):102–6.Ĭhild abuse: Anatomy and pathogenesis of retinal hemorrhages after abusive head trauma - UpToDate. Incidence, distribution, and duration of birth-related retinal hemorrhages: a prospective study. Rise in the incidence of abusive head trauma during the COVID-19 pandemic. Sidpra J, Abomeli D, Hameed B, Baker J, Mankad K. International issues in abusive head trauma. Published online 2019:306.įrasier LD, Kelly P, Al-Eissa M, Otterman GJ. Long-term outcome of abusive head trauma. Kivlin JD, Simons KB, Lazoritz S, Ruttum MS. Challenging the pathophysiologic connection between subdural hematoma, retinal hemorrhage and shaken baby syndrome. Abusive head trauma: judicial admissions highlight violent and repetitive shaking. Prevalence of retinal hemorrhages in perpetrator-confessed cases of abusive head trauma. Retinal haemorrhages and related findings in abusive and non-abusive head trauma: a systematic review. Every healthcare professional in pediatric and emergency departments has a responsibility to identify child abuse cases. Victims of AHT can have lifelong physical, psychological, and academic consequences. Ophthalmic manifestations can vary from retinal or vitreous hemorrhages to retinoschisis, retinal detachment, choroidal rupture, hyphema, orbital fractures, or periorbital ecchymoses. Eye findings are noted in approximately 85% of AHT cases. In many cases, infants can present without external manifestations of trauma, and injuries are usually revealed during the workup. However, the initial history provided is commonly a minor fall or injury or even a complete lack of trauma. These injuries are likely secondary to either rotational or blunt force trauma, which have been confirmed by perpetrator accounts. Head injury, in these cases, may be primary or secondary, exhibiting diffuse unilateral or bilateral subdural hemorrhages, diffuse multiplanar retinal hemorrhages, and brain injuries such as diffuse axonal injury or other parenchymal injuries. The previously used term “shaken baby syndrome” represents a syndromic subset of AHT in which there is evidence of central nervous system (CNS) injury, with or without obvious external signs of trauma. Abusive head trauma (AHT), also known as non-accidental head trauma, is among the leading causes of infant death and long-term morbidity secondary to abuse.
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