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Updated: Jun 20, 2026
19:15
Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
[Shaken baby syndrome]
1Klinik für Diagnostische und Interventionelle Neuroradiologie, Universitätsklinikum des Saarlandes, Homburg/Saar, Deutschland. nrreith@uniklinikum-saarland.de
Der Radiologe
|September 29, 2009
Summary
Shaken baby syndrome (SBS) is severe brain injury from forceful infant shaking, causing subdural hematoma and retinal bleeding. Prevention is crucial due to high mortality and long-term disability in survivors.
Area of Science:
- Pediatrics
- Neurology
- Forensic Medicine
Context:
- Shaken baby syndrome (SBS) is a severe form of abusive head trauma in infants.
- Characterized by subdural hematoma, retinal bleeding, and diffuse brain damage due to forceful shaking.
- Often presents with subtle symptoms, leading to underdiagnosis and a higher incidence than reported.
Purpose:
- To define Shaken baby syndrome (SBS), its clinical presentation, and diagnostic criteria.
- To elucidate the biomechanical mechanisms causing injury during infant shaking.
- To highlight the poor prognosis and long-term consequences for survivors.
Summary:
- SBS involves forceful shaking, causing rotational brain injury and bridging vein rupture.
- Clinical signs range from irritability and vomiting to seizures and apnea.
- Diagnosis relies on symptom constellation; retinal bleeding absence doesn't rule out SBS.
- The mechanism involves rapid acceleration-deceleration and rotational forces on the infant's head.
Impact:
- Approximately 25% of infants with SBS die from their injuries.
- Over 75% of survivors experience permanent physical, visual, cognitive, or behavioral impairments.
- Emphasizes the critical importance of prevention strategies for abusive head trauma.
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