Journal
JOURNAL OF NEUROSURGERY-PEDIATRICS
Volume 24, Issue 5, Pages 481-488Publisher
AMER ASSOC NEUROLOGICAL SURGEONS
DOI: 10.3171/2019.7.PEDS18394
Keywords
child abuse; abusive head trauma; traumatic brain injury; subdural hematoma; nonaccidental trauma; shaken baby; infant
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Abusive head trauma remains the major cause of serious head injury in infants and young children. A great deal of research has been undertaken to inform the recognition, evaluation, differential diagnosis, management, and legal interventions when children present with findings suggestive of inflicted injury. This paper reviews the evolution of current practices and controversies, both with respect to medical management and to etiological determination of the variable constellations of signs, symptoms, and radiological findings that characterize young injured children presenting for neurosurgical care.
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