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Published on: January 20, 2023
Abusive head trauma
Antonia Chiesa1, Ann-Christine Duhaime
1Department of Pediatrics, Kempe Child Protection Team, The Children's Hospital, 13123 E. 16th Avenue, Box 138, Denver, CO 80045, USA. Chiesa.Antonia@tchden.org
Insights
Child physical abuse can cause severe head and brain injuries, often termed abusive head trauma. This article details the diagnosis, management, and outcomes of these critical injuries in child abuse victims.
Area of Science:
- Pediatrics
- Neurology
- Forensic Medicine
Background:
- Child physical abuse frequently results in head and brain injuries.
- Various terms describe these injuries, including battered child syndrome, shaken infant syndrome, and abusive head trauma (AHT).
Purpose of the Study:
- To provide a comprehensive overview of abusive head trauma in child abuse victims.
- To detail the diagnosis, management, and outcomes associated with these injuries.
Main Methods:
- Review of literature on child physical abuse and head/brain injuries.
- Discussion of diagnostic approaches, including imaging studies and forensic evidence.
- Analysis of management strategies and patient outcomes.
Main Results:
- Abusive head trauma encompasses a range of injuries from inflicted head trauma.
- Diagnosis relies on a combination of clinical presentation, imaging, and forensic findings.
- Outcomes vary widely depending on injury severity and management.
Conclusions:
- Abusive head trauma is a significant concern in child abuse.
- Accurate diagnosis and timely management are crucial for improving outcomes.
- Multidisciplinary approaches involving medical professionals and forensic experts are essential.
Abstract:
Child physical abuse that results in injury to the head or brain has been described using many terms, including battered child syndrome, whiplash injuries, shaken infant or shaken impact syndrome, and nonmechanistic terms such as abusive head trauma or nonaccidental trauma. These injuries sustained by child abuse victims are discussed in detail in this article, including information about diagnosis, management and outcomes. The use of forensics, the use imaging studies, and associated injuries are also detailed.
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