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Child abuse: inflicted traumatic brain injury

Shalu Gupta1, Ashok Kumar

  • 1Department of Pediatrics, Institute of Medical Sciences, Banaras Hindu University,Varanasi (UP), India. drshalugupta@yahoo.co.in

Indian Pediatrics
|November 14, 2007
PubMed

Insights

Inflicted traumatic brain injury in infants is often missed by clinicians. Recognizing this form of child abuse requires attention to clinical signs and family dynamics.

Area of Science:

  • Pediatrics
  • Neurology
  • Forensic Medicine

Background:

  • Inflicted traumatic brain injury (ITBI) is a severe form of child abuse.
  • Diagnosis can be challenging, often requiring a high index of suspicion.

Observation:

  • A case report of a one-year-old boy presenting with clinical and neuroimaging evidence of ITBI.
  • The presentation highlights the subtle and easily overlooked signs of inflicted injury.

Findings:

  • Clinical presentation and neuroimaging findings were consistent with ITBI.
  • Delayed recognition contributed to the diagnostic challenge.

Implications:

  • Emphasizes the need for increased clinician awareness regarding ITBI.
  • Highlights the importance of considering the family environment and social context in diagnosing child abuse.
  • Suggests a multidisciplinary approach for improved detection and management of ITBI.

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