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European Journal of Pediatrics

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Open Access 01-04-2012 | Review

Educational paper

Abusive Head Trauma Part II: Radiological aspects

Authors: Tessa Sieswerda-Hoogendoorn, Stephen Boos, Betty Spivack, Rob A. C. Bilo, Rick R. van Rijn

Published in: European Journal of Pediatrics | Issue 4/2012

Abstract

Abusive head trauma (AHT) is a relatively common cause of neurotrauma in young children. Radiology plays an important role in establishing a diagnosis and assessing a prognosis. Computed tomography (CT), followed by magnetic resonance imaging (MRI) including diffusion-weighted imaging (DWI), is the best tool for neuroimaging. There is no evidence-based approach for the follow-up of AHT; both repeat CT and MRI are currently used but literature is not conclusive. A full skeletal survey according to international guidelines should always be performed to obtain information on possible underlying bone diseases or injuries suspicious for child abuse. Cranial ultrasonography is not indicated as a diagnostic modality for the evaluation of AHT. If there is a suspicion of AHT, this should be communicated with the clinicians immediately in order to arrange protective measures as long as AHT is part of the differential diagnosis. Conclusion: The final diagnosis of AHT can never be based on radiological findings only; this should always be made in a multidisciplinary team assessment where all clinical and psychosocial information is combined and judged by a group of experts in the field.

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Title: Educational paper
Abusive Head Trauma Part II: Radiological aspects
Authors: Tessa Sieswerda-Hoogendoorn
Stephen Boos
Betty Spivack
Rob A. C. Bilo
Rick R. van Rijn
Publication date: 01-04-2012
Publisher: Springer-Verlag
Published in: European Journal of Pediatrics / Issue 4/2012
Print ISSN: 0340-6199
Electronic ISSN: 1432-1076
DOI: https://doi.org/10.1007/s00431-011-1611-6

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Educational paper

Abusive Head Trauma Part II: Radiological aspects

Abstract

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Springer Medicine

Abstract

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