Iranian Journal of Pediatrics

Published by: Kowsar

The First Cause of Traumatic Death in Children < 1 Year: A Review on Abusive Head Trauma

Pietro Ferrara 1 , 2 , * , Olga Caporale 2 , Maria Cristina Basile 3 , Costanza Cutrona 2 , Francesco Miconi 2 , Marianna Camaioni 2 , Elena Coppo 3 and Massimo Caldarelli 4
Authors Information
1 Institute of Pediatrics, Catholic University Medical School, Rome, Italy
2 Campus Bio-Medico University Medical School, Rome, Italy
3 SC Pediatria d’urgenza - OIRM Città Della Salute e Della Scienza, Turin, Italy
4 Pediatric Neurosurgery Unit, Institute of Neurosurgery, Catholic University Medical School, Rome, Italy
Article information
  • Iranian Journal of Pediatrics: December 2016, 26 (6); e4686
  • Published Online: July 24, 2016
  • Article Type: Review Article
  • Received: November 12, 2015
  • Revised: November 22, 2015
  • Accepted: July 5, 2016
  • DOI: 10.5812/ijp.4686

To Cite: Ferrara P, Caporale O, Basile M C, Cutrona C, Miconi F, et al. The First Cause of Traumatic Death in Children < 1 Year: A Review on Abusive Head Trauma, Iran J Pediatr. 2016 ; 26(6):e4686. doi: 10.5812/ijp.4686.

Copyright © 2016, Growth &amp; Development Research Center. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Context
2. Evidence Acquisition
3. Results
4. Conclusions
  • 1. Parks S, Sugerman D, Xu L, Coronado V. Characteristics of non-fatal abusive head trauma among children in the USA, 2003--2008: application of the CDC operational case definition to national hospital inpatient data. Inj Prev. 2012; 18(6): 392-8[DOI][PubMed]
  • 2. Laurent-Vannier A, Nathanson M, Quiriau F, Briand-Huchet E, Cook J, Billette de Villemeur T, et al. A public hearing "Shaken baby syndrome: guidelines on establishing a robust diagnosis and the procedures to be adopted by healthcare and social services staff". Guidelines issued by the Hearing Commission. Ann Phys Rehabil Med. 2011; 54(9-10): 600-25[DOI][PubMed]
  • 3. Duhaime AC, Christian CW, Rorke LB, Zimmerman RA. Nonaccidental head injury in infants--the "shaken-baby syndrome". N Engl J Med. 1998; 338(25): 1822-9[DOI][PubMed]
  • 4. Runyan DK. The challenges of assessing the incidence of inflicted traumatic brain injury: a world perspective. Am J Prev Med. 2008; 34(4 Suppl): 112-5[DOI][PubMed]
  • 5. Sieswerda-Hoogendoorn T, Boos S, Spivack B, Bilo RA, van Rijn RR. Educational paper: Abusive Head Trauma part I. Clinical aspects. Eur J Pediatr. 2012; 171(3): 415-23[DOI][PubMed]
  • 6. Wiswell TE, Baumgart S, Gannon CM, Spitzer AR. No lumbar puncture in the evaluation for early neonatal sepsis: will meningitis be missed? Pediatrics. 1995; 95(6): 803-6[PubMed]
  • 7. Keenan HT, Runyan DK, Marshall SW, Nocera MA, Merten DF, Sinal SH. A population-based study of inflicted traumatic brain injury in young children. JAMA. 2003; 290(5): 621-6[DOI][PubMed]
  • 8. Peterson C, Xu L, Florence C, Parks SE, Miller TR, Barr RG, et al. The medical cost of abusive head trauma in the United States. Pediatrics. 2014; 134(1): 91-9[DOI][PubMed]
  • 9. Lopes NR, Eisenstein E, Williams LC. Abusive head trauma in children: a literature review. J Pediatr (Rio J). 2013; 89(5): 426-33[DOI][PubMed]
  • 10. Brazelton TB. Crying in infancy. Pediatrics. 1962; 29: 579-88[PubMed]
  • 11. Barr RG. Crying as a trigger for abusive head trauma: a key to prevention. Pediatr Radiol. 2014; 44 Suppl 4: 559-64[DOI][PubMed]
  • 12. Joint statement on Shaken Baby Syndrome. Paediatr Child Health. 2001; 6(9): 663-77[PubMed]
  • 13. Narang S, Clarke J. Abusive head trauma: past, present, and future. J Child Neurol. 2014; 29(12): 1747-56[DOI][PubMed]
  • 14. Schnitzer PG, Ewigman BG. Child deaths resulting from inflicted injuries: household risk factors and perpetrator characteristics. Pediatrics. 2005; 116(5): 687-93[DOI][PubMed]
  • 15. Carbaugh SF. Understanding shaken baby syndrome. Adv Neonatal Care. 2004; 4(2): 105-14[PubMed]
  • 16. Guthkelch AN. Infantile subdural haematoma and its relationship to whiplash injuries. Br Med J. 1971; 2(5759): 430-1[PubMed]
  • 17. Salehi-Had H, Brandt JD, Rosas AJ, Rogers KK. Findings in older children with abusive head injury: does shaken-child syndrome exist? Pediatrics. 2006; 117(5): 1039-44[DOI][PubMed]
  • 18. Arbogast KB, Margulies SS, Christian CW. Initial neurologic presentation in young children sustaining inflicted and unintentional fatal head injuries. Pediatrics. 2005; 116(1): 180-4[DOI][PubMed]
  • 19. Hobbs C, Childs AM, Wynne J, Livingston J, Seal A. Subdural haematoma and effusion in infancy: an epidemiological study. Arch Dis Child. 2005; 90(9): 952-5[DOI][PubMed]
  • 20. Fanconi M, Lips U. Shaken baby syndrome in Switzerland: results of a prospective follow-up study, 2002-2007. Eur J Pediatr. 2010; 169(8): 1023-8[DOI][PubMed]
  • 21. Chen CY, Zimmerman RA, Rorke LB. Neuroimaging in child abuse: a mechanism-based approach. Neuroradiology. 1999; 41(10): 711-22[PubMed]
  • 22. Tung GA, Kumar M, Richardson RC, Jenny C, Brown WD. Comparison of accidental and nonaccidental traumatic head injury in children on noncontrast computed tomography. Pediatrics. 2006; 118(2): 626-33[DOI][PubMed]
  • 23. Talvik I, Metsvaht T, Leito K, Poder H, Kool P, Vali M, et al. Inflicted traumatic brain injury (ITBI) or shaken baby syndrome (SBS) in Estonia. Acta Paediatr. 2006; 95(7): 799-804[DOI][PubMed]
  • 24. Case ME. Inflicted traumatic brain injury in infants and young children. Brain Pathol. 2008; 18(4): 571-82[DOI][PubMed]
  • 25. Gnanaraj L, Gilliland MG, Yahya RR, Rutka JT, Drake J, Dirks P, et al. Ocular manifestations of crush head injury in children. Eye (Lond). 2007; 21(1): 5-10[DOI][PubMed]
  • 26. Reece RM, Sege R. Childhood head injuries: accidental or inflicted? Arch Pediatr Adolesc Med. 2000; 154(1): 11-5[PubMed]
  • 27. Binenbaum G, Forbes BJ. The eye in child abuse: key points on retinal hemorrhages and abusive head trauma. Pediatr Radiol. 2014; 44 Suppl 4: 571-7[DOI][PubMed]
  • 28. Bechtel K, Stoessel K, Leventhal JM, Ogle E, Teague B, Lavietes S, et al. Characteristics that distinguish accidental from abusive injury in hospitalized young children with head trauma. Pediatrics. 2004; 114(1): 165-8[PubMed]
  • 29. Levin AV. Retinal hemorrhage in abusive head trauma. Pediatrics. 2010; 126(5): 961-70[DOI][PubMed]
  • 30. Wygnanski-Jaffe T, Levin AV, Shafiq A, Smith C, Enzenauer RW, Elder JE, et al. Postmortem orbital findings in shaken baby syndrome. Am J Ophthalmol. 2006; 142(2): 233-40[DOI][PubMed]
  • 31. Nadarasa J, Deck C, Meyer F, Willinger R, Raul JS. Update on injury mechanisms in abusive head trauma--shaken baby syndrome. Pediatr Radiol. 2014; 44 Suppl 4: 565-70[DOI][PubMed]
  • 32. Geddes JF, Tasker RC, Hackshaw AK, Nickols CD, Adams GG, Whitwell HL, et al. Dural haemorrhage in non-traumatic infant deaths: does it explain the bleeding in 'shaken baby syndrome'? Neuropathol Appl Neurobiol. 2003; 29(1): 14-22[PubMed]
  • 33. Mian M, Shah J, Dalpiaz A, Schwamb R, Miao Y, Warren K, et al. Shaken Baby Syndrome: a review. Fetal Pediatr Pathol. 2015; 34(3): 169-75[DOI][PubMed]
  • 34. Hornor G. Medical evaluation for child physical abuse: what the PNP needs to know. J Pediatr Health Care. 2012; 26(3): 163-70[DOI][PubMed]
  • 35. Hinds T, Shalaby-Rana E, Jackson AM, Khademian Z. Aspects of abuse: abusive head trauma. Curr Probl Pediatr Adolesc Health Care. 2015; 45(3): 71-9[DOI][PubMed]
  • 36. Herman BE, Makoroff KL, Corneli HM. Abusive head trauma. Pediatr Emerg Care. 2011; 27(1): 65-9[DOI][PubMed]
  • 37. Kochanek PM, Berger RP, Fink EL, Au AK, Bayir H, Bell MJ, et al. The potential for bio-mediators and biomarkers in pediatric traumatic brain injury and neurocritical care. Front Neurol. 2013; 4: 40[DOI][PubMed]
  • 38. Piteau SJ, Ward MG, Barrowman NJ, Plint AC. Clinical and radiographic characteristics associated with abusive and nonabusive head trauma: a systematic review. Pediatrics. 2012; 130(2): 315-23[DOI][PubMed]
  • 39. Greeley CS. Abusive head trauma: a review of the evidence base. AJR Am J Roentgenol. 2015; 204(5): 967-73[DOI][PubMed]
  • 40. Christian CW, Block R, Committee on Child A, American Academy of P. Abusive head trauma in infants and children. Pediatrics. 2009; 123(5): 1409-11[DOI][PubMed]
  • 41. Warrington SA, Wright CM, Alspac Study Team . Accidents and resulting injuries in premobile infants: data from the ALSPAC study. Arch Dis Child. 2001; 85(2): 104-7[PubMed]
  • 42. Rooks VJ, Eaton JP, Ruess L, Petermann GW, Keck-Wherley J, Pedersen RC. Prevalence and evolution of intracranial hemorrhage in asymptomatic term infants. AJNR Am J Neuroradiol. 2008; 29(6): 1082-9[DOI][PubMed]
  • 43. Looney CB, Smith JK, Merck LH, Wolfe HM, Chescheir NC, Hamer RM, et al. Intracranial hemorrhage in asymptomatic neonates: prevalence on MR images and relationship to obstetric and neonatal risk factors. Radiology. 2007; 242(2): 535-41[DOI][PubMed]
  • 44. Brousseau TJ, Kissoon N, McIntosh B. Vitamin K deficiency mimicking child abuse. J Emerg Med. 2005; 29(3): 283-8[DOI][PubMed]
  • 45. Barlow KM, Thomson E, Johnson D, Minns RA. Late neurologic and cognitive sequelae of inflicted traumatic brain injury in infancy. Pediatrics. 2005; 116(2): 174-85[DOI][PubMed]
  • 46. Chevignard MP, Lind K. Long-term outcome of abusive head trauma. Pediatr Radiol. 2014; 44 Suppl 4: 548-58[DOI][PubMed]
  • 47. Chadwick DL, Bertocci G, Castillo E, Frasier L, Guenther E, Hansen K, et al. Annual risk of death resulting from short falls among young children: less than 1 in 1 million. Pediatrics. 2008; 121(6): 1213-24[DOI][PubMed]
  • 48. Niederkrotenthaler T, Xu L, Parks SE, Sugerman DE. Descriptive factors of abusive head trauma in young children--United States, 2000-2009. Child Abuse Negl. 2013; 37(7): 446-55[DOI][PubMed]
  • 49. Saleh M, Schoenlaub S, Desprez P, Bourcier T, Gaucher D, Astruc D, et al. Use of digital camera imaging of eye fundus for telemedicine in children suspected of abusive head injury. Br J Ophthalmol. 2009; 93(4): 424-8[DOI][PubMed]
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