Shakenbaby syndrome

Aspetti patogenetici, clinici e preventivi

Translated title of the contribution: Shaken baby syndrome: Pathogenetic mechanism, clinical features and preventive aspects

A. Vitale, D. Vicedomini, G. R. Vega, N. Greco, G. Messi

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

The shaken baby syndrome (SBS) is an extremely serious form of child abuse and a leading cause of death and disability in childhood. The syndrome usually occurs in infants younger than 1 year when a parent or a caregiver tries to stop the baby from crying by vigorous manual shaking. The repetitive oscillations with rotational acceleration of the head can result in injuries of both vascular and neuronal structures. The most frequent injuries associated with SBS include encephalopathy, retinal hemorrhages, and subdural hemorrhage. Fractures of the vertebrae, long bones, and ribs may also be associated with the syndrome. Victims of abuse have various presenting signs and symptoms ranging from irritability, decreased responsiveness and lethargy to convulsions, and death. Diagnosis is often difficult because usually parents or caregivers not tell the truth about what has happened to their child and because usually there is no external evidence of trauma. However, the syndrome might be suspected if the information provided are vague or changing and when the child presents with retinal hemorrhages, subdural hematoma, or fractures that cannot be explained by accidental trauma or other medical conditions. Of infants who are victims of SBS, approximately 15% to 38% die and 30% are at risk of long-term neurologic sequelae, including cognitive and behavioural disturbances, motor and visual deficits, learning deficits and epilepsy. Par ents and caregivers must be warned about the dangers of shaking infants.

Original languageItalian
Pages (from-to)641-647
Number of pages7
JournalMinerva Pediatrica
Volume64
Issue number6
Publication statusPublished - Dec 2012

Fingerprint

Shaken Baby Syndrome
Caregivers
Retinal Hemorrhage
Subdural Hematoma
Wounds and Injuries
Crying
Lethargy
Vascular System Injuries
Child Abuse
Brain Diseases
Ribs
Nervous System
Signs and Symptoms
Cause of Death
Epilepsy
Seizures
Spine
Parents
Head
Learning

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Vitale, A., Vicedomini, D., Vega, G. R., Greco, N., & Messi, G. (2012). Shakenbaby syndrome: Aspetti patogenetici, clinici e preventivi. Minerva Pediatrica, 64(6), 641-647.

Shakenbaby syndrome : Aspetti patogenetici, clinici e preventivi. / Vitale, A.; Vicedomini, D.; Vega, G. R.; Greco, N.; Messi, G.

In: Minerva Pediatrica, Vol. 64, No. 6, 12.2012, p. 641-647.

Research output: Contribution to journalArticle

Vitale, A, Vicedomini, D, Vega, GR, Greco, N & Messi, G 2012, 'Shakenbaby syndrome: Aspetti patogenetici, clinici e preventivi', Minerva Pediatrica, vol. 64, no. 6, pp. 641-647.
Vitale A, Vicedomini D, Vega GR, Greco N, Messi G. Shakenbaby syndrome: Aspetti patogenetici, clinici e preventivi. Minerva Pediatrica. 2012 Dec;64(6):641-647.
Vitale, A. ; Vicedomini, D. ; Vega, G. R. ; Greco, N. ; Messi, G. / Shakenbaby syndrome : Aspetti patogenetici, clinici e preventivi. In: Minerva Pediatrica. 2012 ; Vol. 64, No. 6. pp. 641-647.
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