Abstract
Nonaccidental head injury can be a very serious result of child abuse with the clinical outcome being poor and including mental retardation, long-term disability and even death. Skull radiographs, head CT and increasingly MRI are very useful tools in making this very serious diagnosis. Radiologists must be familiar with the radiologic patterns of child abuse and must maintain a high level of suspicion. We review and present several of the common radiologic findings in pediatric nonaccidental head injury.
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References
1.
Rubin
DM
Christian
CW
Bilaniuk
LT
: Occult Head Injury in High-Risk Abused Children . Pediatrics 111 : 1382 –1386 , 2003 .
2.
Caffey
J
: On the Theory and Practice of Shaking Infants . Am J Dis Child 92 : 872 –875 , 1972 .
3.
Kleinman
PK
: Diagnostic Imaging of Child Abuse , 2nd ed , Mosby 9 : 290 –295 , 1998 .
4.
Demaerel
P
Casteels
I
Wilms
G
: Cranial Imaging in Child Abuse . Eur Radiol 12 : 849 –857 , 2002 .
5.
Jaspan
J
Griffiths
PD
McConachie
NS
: Neuroimaging for Nonaccidental Head Injury in Childhood: A Proposed Protocol . Clinical Radiology 58 : 44 –53 , 2003 .
6.
Barlow
KM
Gibson
RJ
McPhilips
M
: Magnetic Resonance Imaging in Acute Nonaccidental Head Injury . Acta Paediatr 88 : 734 –740 , 1999 .
7.
Dias
MS
: Traumatic Brain and Spinal Cord Injury . Pediatric Clinics of North America 51 : 271 –303 , 2004 .
8.
Suh
DY
Davis
PC
Hopkins
KL
: Nonaccidental Pediatric Head Injury: Diffusion-weighted Imaging Findings . Neurosurgery 49 : 309 –320 , 2001 .
9.
Biousse
V
Suh
DY
Newman
NJ
: Diffusion-weighted Magnetic Resonance Imaging in Shaken Baby Syndrome . Am J Ophthalmol 133 : 249 –255 , 2002 .
