Pediatric Radiology

, Volume 33, Issue 12, pp 868–871

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

Authors

    • Department of RadiologyUniversity of Antwerp
  • Berten Ceulemans
    • Department of Pediatric NeurologyUniversity of Antwerp
  • Annick Laridon
    • Department of Pediatric NeurologyUniversity of Antwerp
  • Özkan Özsarlak
    • Department of RadiologyUniversity of Antwerp
  • Johan W. Van Goethem
    • Department of RadiologyUniversity of Antwerp
  • Philippe G. Jorens
    • Department of Pediatric Intensive Care MedicineUniversity of Antwerp
Case Report

DOI: 10.1007/s00247-003-1025-3

Cite this article as:
Parizel, P.M., Ceulemans, B., Laridon, A. et al. Pediatr Radiol (2003) 33: 868. doi:10.1007/s00247-003-1025-3

Abstract

Shaken-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.

Keywords

Shaken baby syndromeMagnetic resonance imagingDiffusionBrain injurySubdural hemorrhage

Copyright information

© Springer-Verlag 2003