Infantile Subdural Haematoma and its Relationship to Whiplash Injuries

  title={Infantile Subdural Haematoma and its Relationship to Whiplash Injuries},
  author={A. Norman Guthkelch},
  journal={British Medical Journal},
  pages={430 - 431}
  • A. Guthkelch
  • Published 22 May 1971
  • Medicine
  • British Medical Journal
Subdural haematoma is one of the commonest features of the battered child syndrome, yet by no means all the patients so affected have external marks of injury on the head. This suggests that in some cases repeated acceleration/deceleration rather than direct violence is the cause of the haemorrhage, the infant having been shaken rather than struck by its parent. Such an hypothesis might also explain the remarkable frequency of the finding of subdural haemorrhage in battered children as compared… Expand
Subdural Hematoma in Non-accidental Head Injury
This chapter will review the clinical presentation, spectrum of mechanisms, and neuroanatomic and cerebrovascular considerations for this common and often serious injury type of subdural hematoma in infants and young children. Expand
Subdural haemorrhage in infants: when are they non-accidental?
Recommendations for the treatment of subdural haemorrhage in children under the age of 2 years are set out, and the pitfalls along the way are discussed. Expand
The pathophysiology of infant subdural haematomas.
The findings do not support shaking as the only cause of infant subdural haematoma formation and also suggest that non-accidental injury is a less common cause of SDH than it is believed to be. Expand
Nonaccidental head injury in infants--the "shaken-baby syndrome".
The mechanisms, typical features, differential diagnosis, and acute management of the most frequently encountered form of infantile inflicted head injury, the so-called shaken-baby syndrome are outlined. Expand
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Subdural Hematoma in Children
It is important to remember that trauma is not the only cause of SDH, and an extensive, often time-consuming, exhaustive investigation into all the causes considered in this chapter must be undertaken if the real cause is to discovered at the end of the day. Expand
‘Shaken Baby Syndrome’: child protection issues when children sustain a subdural haemorrhage
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Ocular pathology in shaken baby syndrome and other forms of infantile non-accidental head injury
This review summarizes the present knowledge of ocular pathology in inflicted infantile neurotrauma, focusing strongly on SBS and a review of the most recent literature on the subject is given. Expand
Shaken baby syndrome
Improved neuropathology and imaging techniques have established the cause of brain injury as hypoxic ischaemic encephalopathy, and Diffusion weighted magnetic resonance imaging is the most sensitive and specific method of confirming a shaking injury. Expand
Letter: Delayed onset of acute post-traumatic subdural effusion.
  • B. Schmitt
  • Medicine
  • American journal of diseases of children
  • 1975
It is suggested that physical abuse was the actual cause behind the subdural hematomas in several of the six cases reported by Gutierrez and Raimondi in the September issue of theJournal of the Lancet (128:327, 1974). Expand


Subdural haematoma after whiplash injury.
The impact data from one of these cases was used to derive the approximate level of rotational acceleration produced in the patient's head during the whiplash, which was slightly lower than that predicted for cerebral concussion by head rotation in man. Expand
Subdural Effusions in Infancy: 24 Cases
Study of the records of the Royal Manchester Children's Hospital for the four years covered by this series shows that, of all surgical conditions of the central nervous system occurring in the first two years of life, only spina bifida and hydrocephalus were seen more often than subdural haematoma. Expand
Whiplash injury and brain damage: an experimental study.
Experimental whiplash injury in rhesus monkeys has demonstrated that experimental cerebral concussion, as well as gross hemorrhages and contusions over the surface of the brain and upper cervicalExpand
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