Abusive head trauma in infants and children

Cindy W. Christian, Robert Block, Carole Jenny, James Crawford, Emalee Flaherty, Roberta A. Hibbard, Rich Kaplan, David L. Corwin, Janet Saul, Tammy Piazza Hurley

Research output: Contribution to journalShort surveypeer-review

361 Scopus citations


Shaken baby syndrome is a term often used by physicians and the public to describe abusive head trauma inflicted on infants and young children. Although the term is well known and has been used for a number of decades, advances in the understanding of the mechanisms and clinical spectrum of injury associated with abusive head trauma compel us to modify our terminology to keep pace with our understanding of pathologic mechanisms. Although shaking an infant has the potential to cause neurologic injury, blunt impact or a combination of shaking and blunt impact cause injury as well. Spinal cord injury and secondary hypoxic ischemic injury can contribute to poor outcomes of victims. The use of broad medical terminology that is inclusive of all mechanisms of injury, including shaking, is required. The American Academy of Pediatrics recommends that pediatricians develop skills in the recognition of signs and symptoms of abusive head injury, including those caused by both shaking and blunt impact, consult with pediatric subspecialists when necessary, and embrace a less mechanistic term, abusive head trauma, when describing an inflicted injury to the head and its contents.

Original languageEnglish (US)
Pages (from-to)1409-1411
Number of pages3
Issue number5
StatePublished - May 2009

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health


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