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Previous Volume 338:1822-1829 June 18, 1998 Number 25 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Trauma is the most common cause of death in childhood, and inflicted head injury is the most common cause of traumatic death in infancy.^1,2,3 Beginning with the classic descriptions of Kempe et al.⁴ and Caffey⁵ and with subsequent clinical, biomechanical, and radiologic studies, the diagnostic features of nonaccidental head injury in infants and toddlers have become widely recognized. This review outlines the mechanisms, typical features, differential diagnosis, and acute management of the most frequently encountered form of infantile inflicted head injury, the so-called shaken-baby syndrome.

Biomechanics and Terminology

The names applied to the syndromes of inflicted head injury in infancy reflect the evolving . . . [Full Text of this Article]

Epidemiology

History, Physical Examination, and Laboratory Findings

Radiologic Findings

Initial Management, Clinical Course, and Outcome

Timing of the Injury

Autopsy Findings

Pathophysiologic Factors

Differential Diagnosis

Conclusions

Source Information

From the Divisions of Neurosurgery (A.-C.D.), General Pediatrics (C.W.C.), Neuropathology (L.B.R.), and Neuroradiology (R.A.Z.), Children's Hospital of Philadelphia and the University of Pennsylvania School of Medicine, Philadelphia.

Address reprint requests to Dr. Duhaime at Neurosurgery, Children's Hospital of Philadelphia, 34th and Civic Center Blvd., Philadelphia, PA 19104.

References

Related Letters:

The "Shaken-Baby Syndrome"
Di Maio V. J.M., Altman R. L., Kutscher M. L., Brand D. A., Duhaime A.-C., Christian C. W., Rorke L. B.
Extract | Full Text  
N Engl J Med 1998; 339:1329-1330, Oct 29, 1998. Correspondence

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