DAS SCHUTTELTRAUMA DES SAUGLINGS - EINE BESONDERE FORM DER KINDESMISSHANDLUNG

Translated title of the contribution: Whiplash-shaken-infant syndrome - A special form of child abuse

U. Thyen*, F. K. Tegtmeyer

*Corresponding author for this work
12 Citations (Scopus)

Abstract

The shaking of infants is an often underestimated cause of head injuries in children. Without any external signs the diagnosis can be missed. The combination of subdural hematoma of typically interhemispheric site and retinal bleeding is pathognomonic of the shaked-baby syndrome. It is caused by acceleration-deceleration movements of the head. We present three patients with whiplash-shaken-injuries who were admitted to our hospital with impaired conciousness or in coma. With little external signs of injury more detailed investigations revealed other, older injuries suggesting previous abuse. The outcome was not favourable. Two of the children were discharged with minor or mild psychomotor retardation and one child was severely handicapped. As in the battered-child-syndrome a good history, assessing child specific and familial risk-factors and the socioeconomic background are most important to confirm a diagnosis. This type of injury is usually part of the spectrum of child abuse.

Translated title of the contributionWhiplash-shaken-infant syndrome - A special form of child abuse
Original languageGerman
JournalMonatsschrift fur Kinderheilkunde
Volume139
Issue number5
Pages (from-to)292-296
Number of pages5
ISSN0025-9298
Publication statusPublished - 1991

Research Areas and Centers

  • Academic Focus: Center for Brain, Behavior and Metabolism (CBBM)

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