• Pediatric radiology · Dec 2003

    Case Reports

    Cortical hypoxic-ischemic brain damage in shaken-baby (shaken impact) syndrome: value of diffusion-weighted MRI.

    • Paul M Parizel, Berten Ceulemans, Annick Laridon, Ozkan Ozsarlak, Johan W Van Goethem, and Philippe G Jorens.
    • Department of Radiology, University of Antwerp, Wilrijkstraat 10, 2650, Edegem, Belgium. parizelp@uia.ua.ac.be
    • Pediatr Radiol. 2003 Dec 1;33(12):868-71.

    AbstractShaken-baby syndrome (SBS) is a type of child abuse caused by violent shaking of an infant, with or without impact, and characterized by subdural hematomas, retinal hemorrhages, and occult bone fractures. Parenchymal brain lesions in SBS may be missed or underestimated on CT scans, but can be detected at an earlier stage with diffusion-weighted MRI (DW-MRI) as areas of restricted diffusion. We demonstrate the value of DW-MRI in a 2-month-old baby boy with suspected SBS. The pattern of diffusion abnormalities indicates that the neuropathology of parenchymal lesions in SBS is due to hypoxic-ischemic brain injuries, and not to diffuse axonal injury.

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