National Australian conference on shaken baby syndrome

Moran, Kieran T

doi:10.5694/j.1326-5377.2002.tb04429.x

Topics

In 1974, Caffey suggested the label "whiplash shaken infant" to describe infants who had subdural haemorrhages without evidence of external injury.1 Much has been learned about inflicted head injury since that time. In September 2001 a conference was held in Sydney to share this knowledge among people from many disciplines who work with, or are affected by, children thought to have been injured in this manner. It was jointly organised by the US National Center on Shaken Baby Syndrome, the Children's Hospital, Westmead, and the Sydney Children's Hospital, Randwick.

Child Protection Unit, Sydney Children's Hospital, Randwick, NSW.

Correspondence: k.moran@unsw.edu.au

1. Caffey J. The whiplash shaken infant syndrome: manual shaking by the extremities with whiplash-induced intracranial and intraocular bleedings, linked with residual permanent brain damage and mental retardation. Pediatrics 1974; 54: 396-403.
2. American Academy of Pediatrics Committee on Child Abuse and Neglect. Shaken baby syndrome: inflicted cerebral trauma. Pediatrics 1993; 92: 872-875.
3. Jawawant S, Rawlinson A, Gibbon F, et al. Subdural haemorrhages in infancy: population-based study. BMJ 1999; 317: 1558-1561.
4. Jenny C, Hymel KP, Ritzen A, et al. Analysis of missed cases of abusive head trauma. JAMA 1999; 281: 621-626.
5. Ewing-Cobbs L, Prasad M, Kramer L, Landry S. Inflicted traumatic brain injury: relationship of developmental outcome to severity of injury. Pediatr Neurosurg 1999; 31: 251-258.
6. Duhaime AC, Christian CW, Rorke LB, Zimmerman RA. Nonaccidental head injury in infants — the "shaken baby syndrome". N Engl J Med 1998; 338: 1822-1829.
7. Levin A. Retinal haemorrhages and child abuse. In: David TJ, editor. Recent Advances in Paediatrics. Vol. 18. London: Churchill Livingstone, 2000.
8. Geddes JF, Hackshaw AK, Vowles GH, et al. Neuropathology of inflicted head injury in children 1. Patterns of brain damage. Brain 2001; 124: 1290-1298.
9. Gennarelli TA, Thibault LE. Biomechanics of head injury. In: Wilkins RH, Rengachary SS, editors. Neurosurgery. Vol. 2. New York: McGraw Hill, 1985: 1531-1536.
10. Williams RA. Injuries in infants and small children resulting from witnessed and corroborated free falls. J Trauma 1991; 31: 1350-1352.
11. Mori K, Sakamoto T, Nishimura K, et al. Subarachnoid fluid collections in infants complicated by subdural hematoma. Childs Nerv Syst 1993; 9: 282-284.
12. Bergstrom M, Ericson K, Levander B, Svendsen P. Computed tomography of cranial subdural and epidural hematomas: variation of attenuation related to time and clinical events such as rebleeding. J Comput Assist Tomogr 1977; 1: 449-455.
13. Golden GS. Pertussis vaccine and injury to the brain. J Pediatr 1990; 116: 854-861.
14. Duhaime AC, Gennarelli TA, Thibault LE, et al. The shaken baby syndrome. A clinical, pathological and biomechanical study. J Neurosurg 1987; 66: 409-415.
15. Pounder D. Shaken adult syndrome. Am J Forensic Med Pathol 1997; 18: 321-324.
16. Starling S, Holden J. Perpetrators of abusive head trauma: a comparison of two geographic populations. South Med J 2000; 93: 463-465.
17. Starling S, Holden J, Jenny C. Abusive head trauma: the relationship of perpetrators to their victims. Pediatrics 1995; 95: 260-262.

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