Cortical hypoxic-ischemic brain damage in shaken-baby (shaken impact) syndrome: value of diffusion-weighted MRI.

Abstract:

:Shaken-baby syndrome (SBS) is a type of child abuse caused by violent shaking of an infant, with or without impact, and characterized by subdural hematomas, retinal hemorrhages, and occult bone fractures. Parenchymal brain lesions in SBS may be missed or underestimated on CT scans, but can be detected at an earlier stage with diffusion-weighted MRI (DW-MRI) as areas of restricted diffusion. We demonstrate the value of DW-MRI in a 2-month-old baby boy with suspected SBS. The pattern of diffusion abnormalities indicates that the neuropathology of parenchymal lesions in SBS is due to hypoxic-ischemic brain injuries, and not to diffuse axonal injury.

journal_name

Pediatr Radiol

journal_title

Pediatric radiology

authors

Parizel PM,Ceulemans B,Laridon A,Ozsarlak O,Van Goethem JW,Jorens PG

doi

10.1007/s00247-003-1025-3

keywords:

subject

Has Abstract

pub_date

2003-12-01 00:00:00

pages

868-71

issue

12

eissn

0301-0449

issn

1432-1998

journal_volume

33

pub_type

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