Pediatric Radiology

, Volume 37, Issue 6, pp 600–602 | Cite as

Intracranial vertebral artery dissection with subarachnoid hemorrhage following child abuse

  • Pamela H. Nguyen
  • Delilah M. Burrowes
  • Saad AliEmail author
  • Robin M. Bowman
  • Ali Shaibani
Case Report


Child abuse is often suspected based on particular patterns of injury. We report a case of intracranial vertebral artery dissection with subarachnoid hemorrhage (SAH) in a 3-month-old boy following child abuse. The mechanisms of injury and the clinical and imaging findings are discussed. This particular pattern of injury has rarely been reported in association with child abuse. We hope to raise physician awareness of child abuse when faced with these imaging findings.


Arterial dissection Child abuse 


  1. 1.
    Caffey J (1974) The whiplash shaken infant syndrome: manual shaking by the extremities with whiplash-induced intracranial and intraocular bleedings, linked with residual permanent brain damage and mental retardation. Pediatrics 54:396–403PubMedGoogle Scholar
  2. 2.
    Guthkelch AN (1971) Infantile subdural haematoma and its relationship to whiplash injuries. Br Med J 2:430–431PubMedGoogle Scholar
  3. 3.
    Chen CY, Zimmerman RA, Rorke LB (1999) Neuroimaging in child abuse: a mechanism-based approach. Neuroradiology 41:711–722PubMedCrossRefGoogle Scholar
  4. 4.
    Demaeral P, Casteels I, Wilms G (2002) Cranial imaging in child abuse. Eur Radiol 12:849–857CrossRefGoogle Scholar
  5. 5.
    Fullerton HJ, Johnston SC, Smith WS (2001) Arterial dissection and stroke in children. Neurology 57:1155–1160PubMedGoogle Scholar
  6. 6.
    Lam C, Montes J, Farmer JP et al (1996) Traumatic aneurysm from shaken baby syndrome: case report. Neurosurgery 39:1252–1255PubMedCrossRefGoogle Scholar
  7. 7.
    Agner C, Weig SG (2005) Arterial dissection and stroke following child abuse: case report and review of the literature. Childs Nerv Syst 21:416–420PubMedCrossRefGoogle Scholar
  8. 8.
    Sasaki O, Ogawa H, Koike T et al (1991) A clinicopathologic study of dissecting aneurysms of the intracranial vertebral artery. J Neurosurg 75:874–878PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • Pamela H. Nguyen
    • 1
  • Delilah M. Burrowes
    • 1
  • Saad Ali
    • 1
    • 2
    Email author
  • Robin M. Bowman
    • 3
  • Ali Shaibani
    • 1
  1. 1.Department of RadiologyFeinberg School of Medicine of Northwestern UniversityChicagoUSA
  2. 2.ChicagoUSA
  3. 3.Department of Neurological SurgeryFeinberg School of Medicine of Northwestern UniversityChicagoUSA

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