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Shaken baby syndrome
R F Spaide1, R M Swengel, D W Scharre
1Manhattan Eye, Ear and Throat Hospital, New York, New York.
American Family Physician
|April 1, 1990
Summary
Diagnosing shaken baby syndrome in infants is challenging due to subtle signs. Key indicators include seizures, vomiting, lethargy, and hallmark head and retinal hemorrhages.
Area of Science:
- Pediatrics
- Neurology
- Forensic Medicine
Background:
- Shaken baby syndrome (SBS) is a severe form of infant trauma.
- Diagnosis is often delayed due to the absence of clear external injuries.
Observation:
- Infants under one year, particularly those under six months, are most vulnerable.
- Clinical presentations include seizures, failure to thrive, vomiting, lethargy, hypothermia, and respiratory irregularities.
Findings:
- Subdural hemorrhage and retinal hemorrhages are characteristic findings in SBS.
- Isolated organ system findings are frequently nonspecific, complicating diagnosis.
Implications:
- Early consideration of SBS is crucial for affected infants.
- Recognizing subtle signs and hallmark injuries aids in timely diagnosis and intervention.