Korean Journal of Radiology

The Korean Society of Radiology (대한영상의학회)
권호 표지

MR Imaging of Shaken Baby Syndrome Manifested as Chronic Subdural Hematoma

  • Yul Lee (Department of Radiology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Kwan Seop Lee (Department of Radiology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Dae Hyun Hwang (Department of Radiology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine) ;
  • In Jae Lee (Department of Radiology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Hyun Beom Kim (Department of Radiology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Jae Young Lee (Department of Radiology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine)
  • Received : 2001.04.30
  • Accepted : 2001.06.28
  • Published : 2001.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

Shaken baby syndrome (SBS) is a form of child abuse that can cause significant head injuries, of which subdural hematoma (SDH) is the most common manifestation. We report the MRI findings of chronic SDH in three cases of SBS, involving two-, three- and eight-month-old babies. The SDH signal was mostly low on T1-weighted images and high on T2-weighted images, suggesting chronic SDH. In chronic SDH, a focal high signal on T1-weighted images was also noted, suggesting rebleeding. Contrast-enhanced MRI revealed diffuse dural enhancement.

Keywords

References

  1. Cox LA. The shaken baby syndrome: diagnosis using CT and MRI. Radiol Tech 1996;67:513-520
  2. Petitti N, Williams DW III. CT and MR imaging of nonaccidental pediatric head trauma. Acad Radiol 1998;5:215-223
  3. Sato Y, Yuh WTC, Smith WL, Alexander RC, Kao SCS, Ellerbroek CJ. Head injury in child abuse: evaluation with MR imaging. Radiology 1989;173:653-657
  4. Duheime AC, Gennarelli TA, Tiubault LE, Bruce DA, Margulies SS, Wiser R. The shaken baby syndrome: A clinical, pathological and biochemical study. J Neurosurg 1987;66:409-415
  5. Hearley MN, Sonntag VKH, Rekate HL, Murphy A. The infant whiplash-shake injury syndrome: a clinical and pathologic study. Neurosurgery 1989;24:536-540
  6. Couser S. Shaken baby syndrome. J Ped Health Care 1993;7:238-239
  7. Brown GR, Runyan DK. Diagnosing child maltreatment. NC Med J 1994;55:404-408
  8. Kleinman PK. Diagnostic imaging in infant abuse. AJR 1990;155:703-712
  9. Osborn AG. Diagnostic neuroradiology. St. Louis:Mosby, 1994:205-212
  10. Budenz DL, Farber MG, Mirchandani HG, Park H, Rorke LB. Ocular and optic nerve hemorrhages in abused infants with intracranial injuries. Ophthalmology 1994;101:559-565