Shaken baby syndrome: a review of 20 cases.

Abstract:

:Twenty cases of shaken baby syndrome are reviewed to determine important signs, symptoms, physical findings, laboratory parameters, and prognosis. The signs and symptoms of this form of head trauma are nonspecific. The findings may mimic infection, intoxication, or metabolic abnormalities. Diagnosis depends on a high index of suspicion and the physical findings of a bulging fontanelle, head circumference greater than the 90th percentile, and retinal hemorrhage. The finding of bloody fluid from a lumbar or subdural tap is also highly suggestive. Computed cranial tomography findings confirm the diagnosis. The prognosis in the shaken baby syndrome is poor. Three of our 20 patients died and ten others sustained significant morbidity. The emergency physician must be alert to making this diagnosis in order to promptly institute therapy for acute head trauma.

journal_name

Ann Emerg Med

authors

Ludwig S,Warman M

doi

10.1016/s0196-0644(84)80571-5

subject

Has Abstract

pub_date

1984-02-01 00:00:00

pages

104-7

issue

2

eissn

0196-0644

issn

1097-6760

pii

S0196-0644(84)80571-5

journal_volume

13

pub_type

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