Shaken Baby Syndrome: A Case Report
Main Article Content
Abstract
Introduction: Shaken baby syndrome (SBS) is one of the causes of non-accidental pain of the most difficult diagnosis in pediatrics practice. Objective: To report a case of SBS, discuss the importance of recognizing this syndrome and address its diagnosis and management, in order to mitigate the consequences for the child’s physical and emotional health. Case Report: We report a case of a 4-month-old infant who came to the emergency room due to convulsive condition and bulging fontanelle, with a comatose condition. She had a history of femur fracture at 3 months, delayed vaccination, and illicit drug-using parents. Investigation was performed with skull computed tomography with findings compatible with SBS. Comments: Shaken baby syndrome is a non-accidental brain trauma, with higher mortality in pediatrics. It is often underreported and constitutes a major diagnostic challenge. The report exemplifies the syndrome well, but, above all, informs the importance of its identification and prevention.
Downloads
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
References
1. Mcmenemy MC. Quem reconhece o abuso infantil é um grande problema. The Lancet. 1999; 353:1340.
2. Loredo-Abdalá A, Trejo-Hernández J, García-Piña C, Portillo-González A, Capistrán-Guadalajara A, Carballo-Herrera R, et al. Maltrato Infantil: Una acción interdisciplinaria en México. Comisión Nacional para el Estudio y la Atención Integral al Niño Maltrato. Primera parte. Salud Mental. 2010; 33:281-290.
3. Matschke J, Herrmann B, Sperhake J, Körber F, Bajanowski T, Glatzel M. Shaken Baby Syndrome – a common variant of non-accidental head injury in infants. Dtsch Arztebl Int. 2009; 106: 211-17.
4. Ferreira R, Silva M. Síndrome da Criança abanada: abordagem diagnóstica. Arq Med. 2014; 28(5):145-151.
5. Lourenço L, Silva M, Lisboa L, Mota TC, Ribeiro A. Síndrome do bebe abanado – experiência de 10 anos de um serviço de cuidados intensivos pediátricos. Nascer e Crescer [Internet]. 2013 22(2). [cited 2018 November 15]. Available from: http://www.scielo.mec.pt/scielo.php?script=sci_arttext&pid=S0872-07542013000200002
6. Fernandes YB, Maciel JA, Guedes CMH, Davoli A, Facure NO. Shaken baby syndrome (síndrome do bebê chacoalhado – relato de caso. Arq Neuropsiquiatr [Internet]. 1995; 53(3-B):649-653. [cited 2018 November 15]. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X1995000400017&lng=pt&tlng=pt
7. Parks SE, Annest JL, Hill HA, Karch DL. Pediatric abusive head trauma: Recommended definitions for public health surveillance and research. Atlanta, GA: Centers for Disease Control and Prevention. 2012.
8. Lee C, Barr RG, Catherine N, Wicks A. Age-related incidence of publicly reported Shaken Baby Syndrome cases: Is crying a trigger for shaking? Journal of Developmental and Behavioral Pediatrics. 2007; 28(4):288-293.
9. Arun Babu T, Venkatesh C, Mahadevan S. Shaken baby syndrome. Indian J Pediatr. 2009; 76(9):954-955.
10. Lewin L. Shaken baby syndrome: facts, education, and advocacy. Nurs Womens Health. 2008; 12(3):235-239.
11. Paiva WS, Soares MS, Amorim RL, de Andrade AF, Matushita H, Teixeira MJ. Traumatic brain injury and shaken baby syndrome. Acta Med Port. 2011; 24(5):805-808.
12. American Academy of Pediatrics: Committee on Child Abuse and Neglect. Shaken baby syndrome: rotational cranial injuries-technical report. Pediatrics. 2001; 108(1):206-210.
13. Gerber P, Coffman K. Nonaccidental head trauma in infants. Childs Nerv Syst. 2007; 23(5):499-507.
14. Case ME. Abusive head injuries in infants and young children. Leg Med Tokyo. 2007; 9(2):83-87.
15. Morad Y, Wygnansky-Jaffe T, Levin AV. Retinal haemorrhage in abusive head trauma. Clin Experiment Ophthalmol. 2010; 38(5):514-520.