Pediatric Radiology

, Volume 33, Issue 8, pp 574–577 | Cite as

Diffusion-weighted MRI in shaken baby syndrome

  • Yu-Leung ChanEmail author
  • Winnie C. W. Chu
  • Gary W. K. Wong
  • David K. W. Yeung
Case Report


We present the characteristic CT and MRI findings of a 2-month-old girl with shaken baby syndrome. Diffusion-weighted MR imaging performed 8 days after the insult established the presence of injury to the white matter in the corpus callosum and subcortical white matter in the temporo-occipito-parietal region. Diffusion-weighted MR imaging is valuable in the diagnostic work-up of suspected shaken baby syndrome, as injury to the white matter can be demonstrated days after the injury.


Head Brain Trauma Shaken baby syndrome Child abuse MRI MR (diffusion) 


  1. 1.
    Duhaime AC, Christian CW, Rorke LB, et al (1998) Nonaccidental head injury in infants—the "shaken-baby syndrome". N Engl J Med 338:1822–1829PubMedGoogle Scholar
  2. 2.
    American Academy of Pediatrics: Committee on Child Abuse and Neglect (2001) Shaken baby syndrome: rotational cranial injuries—technical report. Pediatrics 108:206–210PubMedGoogle Scholar
  3. 3.
    Alexander RC, Schor DP, Smith WL Jr (1986) Magnetic resonance imaging of intracranial injuries from child abuse. J Pediatr 109:975–979PubMedGoogle Scholar
  4. 4.
    Lee Y, Lee KS, Hwang DH, et al (2001) MR imaging of shaken baby syndrome manifested as chronic subdural hematoma. Korean J Radiol 2:171–174PubMedGoogle Scholar
  5. 5.
    Sato Y, Yuh WT, Smith WL, et al (1989) Head injury in child abuse: evaluation with MR imaging. Radiology 173:653–657PubMedGoogle Scholar
  6. 6.
    Liu AY, Maldjian JA, Bagley LJ, et al (1999) Traumatic brain injury: diffusion-weighted MR imaging findings. AJNR 20:1636–1641Google Scholar
  7. 7.
    Biousse V, Suh DY, Newman NJ, et al (2002) Diffusion-weighted magnetic resonance imaging in shaken baby syndrome. Am J Ophthalmol 133:249–255CrossRefPubMedGoogle Scholar
  8. 8.
    Shannon P, Smith CR, Deck J, et al (1998) Axonal injury and the neuropathology of shaken baby syndrome. Acta Neuropathol 95:625–631PubMedGoogle Scholar
  9. 9.
    Volpe JJ (1997) Brain injury in the premature infant. (1997) Clin Perinatol 24:567–587PubMedGoogle Scholar
  10. 10.
    Pulera MR, Adams LM, Liu H, et al (1998) Apoptosis in a neonatal rat model of hypoxia-ischemia. Stroke 29:2622–2630PubMedGoogle Scholar

Copyright information

© Springer-Verlag 2003

Authors and Affiliations

  • Yu-Leung Chan
    • 1
    Email author
  • Winnie C. W. Chu
    • 1
  • Gary W. K. Wong
    • 2
  • David K. W. Yeung
    • 3
  1. 1.Department of Diagnostic Radiology and Organ ImagingPrince of Wales HospitalHong KongPeople's Republic of China
  2. 2.Department of PaediatricsPrince of Wales HospitalHong KongPeople's Republic of China
  3. 3.Department of Clinical OncologyPrince of Wales HospitalHong KongPeople's Republic of China

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