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Updated: May 5, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
The shaken baby syndrome
1Department of Neurosurgery, King Abdulaziz University Hospital and The College of Medicine and Allied Health Sciences, Jeddah, Kingdom of Saudi Arabia.
Insights
Child abuse, particularly non-accidental injury, is a leading cause of death in infants and children. This review highlights central nervous system trauma from child abuse, aiming to increase regional awareness of this emerging issue.
Area of Science:
- Pediatric Trauma
- Child Abuse and Neglect
- Neuroscience
Background:
- Trauma is the leading cause of death in childhood.
- Non-accidental injury is the primary cause of death in infants (1 month to 1 year).
- Child maltreatment is an emerging concern in Saudi Arabia and other Arab nations, with limited existing literature.
Purpose of the Study:
- To review central nervous system (CNS) insults resulting from inflicted trauma in child abuse.
- To raise awareness of child abuse and its neurological consequences in Saudi Arabia and the Arab region.
- To underscore the severity of life and function loss in childhood beyond the perinatal period due to abuse.
Main Methods:
- Literature review focusing on child abuse and associated CNS trauma.
- Analysis of existing data on child maltreatment in Saudi Arabia and Arab countries.
- Synthesis of information on the neurological impact of inflicted injuries in children.
Main Results:
- Child abuse leads to significant central nervous system insults.
- Non-accidental head injuries are a critical factor in pediatric mortality.
- There is a notable lack of comprehensive data on child maltreatment in the region.
Conclusions:
- Child abuse inflicts severe, often fatal, central nervous system trauma.
- Increased awareness and research are crucial to address this public health issue in the Arab world.
- Preventing child abuse is vital to protect children from devastating and permanent neurological damage.
Abstract:
Trauma is the most common cause of death in childhood and non-accidental injury is the leading cause of death in infants between one month and one year of life. This is a newly emerging entity in Saudi Arabia. However, there is little available literature on the extent of child maltreatment in Saudi Arabia and other Arab countries. In this review, we will discuss various aspects of the central nervous system insults resulting from the inflicted trauma of child abuse. We aim to raise awareness in the region as the tragic loss of life and function is unequalled in childhood beyond the perinatal period.
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