Abstract
We present the characteristic CT and MRI findings of a 2-month-old girl with shaken baby syndrome. Diffusion-weighted MR imaging performed 8 days after the insult established the presence of injury to the white matter in the corpus callosum and subcortical white matter in the temporo-occipito-parietal region. Diffusion-weighted MR imaging is valuable in the diagnostic work-up of suspected shaken baby syndrome, as injury to the white matter can be demonstrated days after the injury.
Similar content being viewed by others
References
Duhaime AC, Christian CW, Rorke LB, et al (1998) Nonaccidental head injury in infants—the "shaken-baby syndrome". N Engl J Med 338:1822–1829
American Academy of Pediatrics: Committee on Child Abuse and Neglect (2001) Shaken baby syndrome: rotational cranial injuries—technical report. Pediatrics 108:206–210
Alexander RC, Schor DP, Smith WL Jr (1986) Magnetic resonance imaging of intracranial injuries from child abuse. J Pediatr 109:975–979
Lee Y, Lee KS, Hwang DH, et al (2001) MR imaging of shaken baby syndrome manifested as chronic subdural hematoma. Korean J Radiol 2:171–174
Sato Y, Yuh WT, Smith WL, et al (1989) Head injury in child abuse: evaluation with MR imaging. Radiology 173:653–657
Liu AY, Maldjian JA, Bagley LJ, et al (1999) Traumatic brain injury: diffusion-weighted MR imaging findings. AJNR 20:1636–1641
Biousse V, Suh DY, Newman NJ, et al (2002) Diffusion-weighted magnetic resonance imaging in shaken baby syndrome. Am J Ophthalmol 133:249–255
Shannon P, Smith CR, Deck J, et al (1998) Axonal injury and the neuropathology of shaken baby syndrome. Acta Neuropathol 95:625–631
Volpe JJ (1997) Brain injury in the premature infant. (1997) Clin Perinatol 24:567–587
Pulera MR, Adams LM, Liu H, et al (1998) Apoptosis in a neonatal rat model of hypoxia-ischemia. Stroke 29:2622–2630
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Chan, YL., Chu, W.C.W., Wong, G.W.K. et al. Diffusion-weighted MRI in shaken baby syndrome. Pediatr Radiol 33, 574–577 (2003). https://doi.org/10.1007/s00247-003-0949-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00247-003-0949-y