Brain imaging plays a key role in accurately identifying abusive head trauma (AHT). An exact and rapid diagnosis is needed due to the extreme severity of AHT, since there is a risk of neurological sequelae and potentially fatal recurrence. Several medical specialists will work collaboratively to detect and confirm abuse in children: the radiologist has a leading role in this approach. This article describes the most common neuro-imaging patterns of AHT, including extra axial, intra axial, bony, and ligamentous lesions, with a special focus on the dating issue and the differential diagnosis.
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The authors have no competing interests to declare that are relevant to the content of this article. Prof. Catherine Adamsbaum is judicial expert in the Court of Appeal of Paris and in the Supreme Court. Experts in France are independent.
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Mannes, I., Drissi, C. & Adamsbaum, C. Imaging findings in abusive head trauma (AHT). Childs Nerv Syst 38, 2325–2334 (2022). https://doi.org/10.1007/s00381-022-05672-8