“Shaken baby syndrome” and forensic pathology

  title={“Shaken baby syndrome” and forensic pathology},
  author={Christopher S. Greeley},
  journal={Forensic Science, Medicine, and Pathology},
  • C. Greeley
  • Published 16 February 2014
  • Medicine
  • Forensic Science, Medicine, and Pathology
The controversy [1] that has surrounded abusive head trauma (AHT) for the past decade is, at its core, fabricated. The premise that the vigorous shaking of an infant is dangerous to that infant is agreed upon by all but the most adamant critics. The complex features of AHT are often disparagingly distilling simply to ‘‘The Triad’’; a term devoid of any real clinical meaning and not used at all in practice. There are two primary drivers of the current debate over AHT. Firstly, there are… Expand
Shaken Baby Syndrome: Inadequate Logic, Unvalidated Theory, Insufficient Science
This paper tells the ‘story’ of shaken baby syndrome/abusive head trauma, tracking the evolving medical literature and demonstrating the influences on some of the significant court cases in which theExpand
Chapter 4 – Shaken Baby Syndrome
Though doctors, including the leading advocates of SBS, are shifting their views in several jurisdictions internationally, defendants still face prosecution and conviction based on the old SBS tenets, and attorneys and courts must be aware of current science in order to ensure fair trials and just verdicts. Expand
A commentary on Johnson et al.’s “Shaken baby syndrome/abusive head trauma: Wrongful conviction risks, mis-information effects, and psychological consultation”
ABSTRACT Abusive Head Trauma (AHT) is a medical diagnosis which indicates that accidents, diseases, or other medical conditions do not plausibly explain a child’s injuries. While psychologists may beExpand
The triad in abusive head trauma—a clinical perspective
In a review of whether the diagnosis of shaken baby syndrome (SBS) can be made with sufficient certainty from a juridical point of view based on the classical triad of symptoms, the authors exhibit difficulties with a definition of the “triad”. Expand
Shaken Baby Syndrome
Until it is widely recognised that shaking cannot be diagnosed on the basis of patterns of intracranial bleeding, doctors and the courts are aware of this and of the alternative causes of the triad, there are risks of miscarriage of justice and wrongful allegations of abuse. Expand
Medicolegal issues in abusive head trauma for the pediatric neurosurgeon.
The authors discuss how to appropriately document these cases in the medical record for expected legal review, and provide an overview of the legal process through which the neurosurgeon may be called to provide testimony. Expand


Shaken Baby Syndrome, Abusive Head Trauma, and Actual Innocence: Getting It Right
In the past decade, the existence of shaken baby syndrome (SBS) has been called into serious question by biomechanical studies, the medical and legal literature, and the media. As a result of theseExpand
“Shaken baby syndrome” and forensic pathology: an uneasy interface
  • R. Byard
  • Medicine
  • Forensic Science, Medicine, and Pathology
  • 2013
The author considers it veryunlikely that an infant would be able to engage in normalactivities in an apparently unaffected manner after such aninsult, and considering the severity of the injury (i.e., the event has resulted in death) and the rapidity with whichintracranialpressure has beenshowntorise in animal modelsfollowing blunt trauma. Expand
The “Shaken Baby” syndrome: pathology and mechanisms
The pathology and mechanisms of the three physiologically associated findings which constitute the “triad” and are seen in infants suffering from a wide range of non-traumatic as well as traumatic conditions are focused on. Expand
Reflections on "shaken baby syndrome": a case report
If child abuse is suspected, a careful differential diagnosis must be done, after a nonthreatening medical interview—as opposed to a police interrogation—of the parents and caregivers. The physicianExpand
Inflicted head injury in infants.
It is proposed that the subdural and retinal bleeding in infants who die without objective signs of injury in such cases may well have a physiological aetiology, rather than being caused directly by trauma. Expand
Shaken Infants Die of Neck Trauma, Not of Brain Trauma
It is proposed that trauma to the third through fifth cervical spinal nerve roots induced by hyperflexion/extension of the neck is the cause of the anoxic encephalopathy of the classic SBS triad, and is therefore not only a more specific indicator of hyper flexion/Extension injury than subdural hemorrhage alone, but is the mechanism of injury in these cases. Expand
Challenging the Pathophysiologic Connection between Subdural Hematoma, Retinal Hemorrhage and Shaken Baby Syndrome
The origin of this link and the evidence challenging these connections should prompt emergency physicians and others who care for children to consider a broad differential diagnosis before settling on occult shaking as the de-facto cause. Expand
Retino‐Dural Hemorrhage of Infancy
The pathology of each of these signs and their pathophysiology is examined, and the importance of considering the birth, early clinical history, and predisposing vulnerabilities when examining a case of suspected abuse is emphasized. Expand
Which clinical features distinguish inflicted from non-inflicted brain injury? A systematic review
It is shown that apnoea and retinal haemorrhage have a high odds ratio for association with iBI, and key features that should be recorded in the assessment of children where iBI is suspected and may help clinicians to define the likelihood of iBI. Expand
Infant acute life-threatening event--dysphagic choking versus nonaccidental injury.
The autopsy findings provided further evidence that the child's injury could result from a dysphagic choking type of acute life threatening event (ALTE) as consistently described by the caretaker. Expand