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International issues in abusive head trauma.

Lori D Frasier1, Patrick Kelly, Majid Al-Eissa

  • 1Division of Child Abuse Pediatrics, Penn State Hershey Department of Pediatrics, 500 University Drive, Hershey, PA, 17033, USA, lfrasier@hmc.psu.edu.

Pediatric Radiology
|December 16, 2014
PubMed
Summary

Abusive head trauma (AHT) evolved from shaken baby syndrome terminology. This review covers AHT

Area of Science:

  • Pediatrics
  • Forensic Pathology
  • Child Abuse Research

Background:

  • The term "shaken baby syndrome" has been replaced by "abusive head trauma" (AHT) to encompass a broader range of injuries.
  • AHT reflects a more comprehensive understanding of the diverse mechanisms causing severe brain injuries in children due to abuse.

Purpose of the Study:

  • To review the historical development of abusive head trauma diagnosis in the United States.
  • To examine current international issues in AHT epidemiology, diagnosis, legal aspects, and outcomes.

Main Methods:

  • Historical review of medical literature and diagnostic evolution in the US.
  • Analysis of international case studies and physician involvement in AHT evaluations.

Main Results:

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  • The evolution of terminology from "shaken baby syndrome" to "abusive head trauma" (AHT) signifies improved understanding of injury mechanisms.
  • AHT is now recognized globally as a severe and often fatal form of child abuse, with the US medical community leading research.

Conclusions:

  • Abusive head trauma (AHT) is a critical diagnosis in child abuse, encompassing various injury mechanisms beyond shaking.
  • International collaboration and research are vital for addressing the global challenge of AHT, improving diagnosis, and ensuring child safety.