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A Comment to this article was published on 19 October 2022



Abusive head trauma (AHT) is a serious cause of morbidity and mortality in the pediatric population, especially in young infants. This review of the literature aimed to understand the characteristics of AHT in Japan.


PubMed and the Japanese database Ichuushi were searched to understand the differences in AHT between Japan and other countries.


Shaking was identified as an uncommon cause of injury, while mothers were the most common perpetrator of pediatric AHT in Japan. Although uncommon in other countries, infantile subdural hematoma caused by an accidental slight head injury was reported in Japan.


As in other countries, AHT is a major condition which pediatric neurosurgeons face in Japan. The mechanisms of injury and perpetrators of AHT seemed to differ slightly between western countries and Japan. Additionally, non-accidental infantile acute subdural hematoma was reported mainly in Japan. Therefore, further care and fair judgment is necessary when investigating child abuse in Japan.

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Authors and Affiliations



Kazuaki Shimoji conceived the idea of the study, conducted literature search, and drafted the original manuscript. Eiichi Suehiro conceived the idea of the study and conducted literature search. Akira Matsuno supervised the conduction of the study. Takashi Araki supervised the conduction of the study. All authors reviewed the manuscript draft and revised it critically on intellectual content and approved the final version of the manuscript to be published.

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Correspondence to Kazuaki Shimoji.

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Shimoji, K., Suehiro, E., Matsuno, A. et al. Abusive head trauma in Japan. Childs Nerv Syst 38, 2387–2393 (2022).

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