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Pediatric Radiology
Published in: Pediatric Radiology 4/2014

01-12-2014 | Special Issue: Abusive Head Trauma

Diagnosing abusive head trauma: the challenges faced by clinicians

Authors: John M. Leventhal, Andrea G. Asnes, Lisa Pavlovic, Rebecca L. Moles

Published in: Pediatric Radiology | Special Issue 4/2014

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Abstract

This article highlights five important aspects of the clinical problem of evaluating young children who are suspected of having abusive head trauma: 1) the clinical questions to be addressed, 2) challenges when evaluating young children with suspected abuse, 3) key aspects of clinical practice and data collection, 4) a framework for decision-making and 5) key articles in the literature that can help inform a sound clinical decision about the likelihood of abuse.
Literature
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Jenny C (ed) (2011) Child abuse & neglect: diagnosis, treatment, and evidence. Saunders, St. Louis
2.
Adams LR, Duhaime C, Jenny C et al (2009) Head trauma. In: Reece R, Christian CW (eds) Child abuse: medical diagnosis and management, 3rd edn. American Academy of Pediatrics, Elk Grove, pp 53–120
3.
Christian CW, Block B (2009) Committee on child abuse and neglect. Abusive head trauma in infants and children. Pediatrics 123:1409–1411PubMedCrossRef
4.
Leventhal JM (2000) Thinking clearly about evaluations of suspected child abuse. Clin Child Psychol Psychiatry 5:139–147CrossRef
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Hooft A, Ronda J, Schaeffer P et al (2013) Identification of physical abuse cases in hospitalized children: accuracy of international classification of disease codes. J Pediatr 162:80–85PubMedCrossRef
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Jenny C, Hymel KP, Ritzen A et al (1999) Analysis of missed cases of abusive head trauma. JAMA 281:621–626PubMedCrossRef
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Sheets LK, Leach ME, Koszewski IJ et al (2013) Sentinel injuries in infants evaluated for child physical abuse. Pediatrics 131:701–707PubMedCrossRef
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Pierce MC, Kaczor K, Aldridge S et al (2010) Bruising characteristics discriminating child abuse from accidental trauma. Pediatrics 125:67–74PubMedCrossRef
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Adamsbaum C, Grabar S, Mejean N et al (2010) Abusive head trauma: judicial admissions highlight violent and repetitive shaking. Pediatrics 126:546–555PubMedCrossRef
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Starling SP, Patel S, Burk BL et al (2004) Analysis of perpetrator admissions to inflicted traumatic brain injury in children. Arch Pediatr Adolesc Med 158:454–458PubMedCrossRef
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Biron DL, Shelton D (2005) Perpetrator accounts in infant abusive head trauma brought about by a shaking event. Child Abuse Negl 29:1347–1358PubMedCrossRef
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Bechtel K, Stoessel K, Leventhal JM et al (2004) Characteristics that distinguish accidental from inflicted injury in hospitalized young children with head trauma. Pediatrics 114:165–168PubMedCrossRef
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Buys YM, Levin AV, Enzenauer RW et al (1992) Retinal findings after head trauma in infants and young children. Ophthalmology 99:1718–1723PubMedCrossRef
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Trenchs V, Curoy AI, Morales M et al (2008) Retinal hemorrhages in head trauma resulting from falls: differential diagnosis with non-accidental trauma in children younger than 2 years of age. Childs Nerv Syst 24:815–820PubMedCrossRef
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Forbes BJ, Cox M, Christian CV (2008) Retinal hemorrhages in patients with epidural hematomas. JAAPOS 12:177–180
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Vinchon M, de Foort-Dhellemmes S, Desurmont M et al (2010) Confessed abuse versus witnessed accidents in infants: comparison of clinical, radiological, and ophthalmological data in corroborated cases. Childs Nerv Syst 26:637–645PubMedCrossRef
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Maguire SA, Kemp AM, Lumb RC et al (2011) Estimating the probability of abusive head trauma: a pooled analysis. Pediatrics 128:550–564
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Metadata
Title
Diagnosing abusive head trauma: the challenges faced by clinicians
Authors
John M. Leventhal
Andrea G. Asnes
Lisa Pavlovic
Rebecca L. Moles
Publication date
01-12-2014
Publisher
Springer Berlin Heidelberg
Published in
Pediatric Radiology / Issue Special Issue 4/2014
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-014-3074-1

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