Iranian Journal of Pediatrics
Tehran University of Medical Sciences Press
Vol. 26, No. 6, 2016, pp. 1-7
Bioline Code: pe16092
Full paper language: English
Document type: Review Article
Document available free of charge
Iranian Journal of Pediatrics, Vol. 26, No. 6, 2016, pp. 1-7
© Copyright 2016 - Growth & Development Research Center
The First Cause of Traumatic Death in Children < 1 Year: A Review on Abusive Head Trauma|
Ferrara, Pietro; Caporale, Olga; Basile, Maria Cristina; Cutrona, Costanza; Miconi, Francesco; Camaioni, Marianna; Coppo, Elena & Caldarelli, Massimo
Context: Pediatric abusive head trauma (AHT) can be defined as an injury to the skull or intracranial contents of a child under the
age of 5 due to inflicted blunt impact or violent shaking.
Evidence Acquisition: AHT is the most common cause of traumatic death in children younger than 1 year, and it is the leading cause
of death due to child abuse. Clinical presentation observed in children with AHT depends on the type of AHT and accompanying
injuries. History and physical examination are important for diagnosing AHT and for distinguishing it from other conditions that
can mimic shaken baby syndrome, such as accidental trauma, cancer, metabolic diseases, and others.
Results: Progress in research on the medical diagnosis of AHT has been remarkable, while the development of treatment strategies
has been limited. For these reasons, there is an urgent need to develop effective treatment strategies for AHT able to improve the
Conclusions: The construction of a nationwide database that supports clinical studies is required in the future.
Head Trauma; Shaken Baby Syndrome; Children
Alternative site location: http://diglib.tums.ac.ir/pub/