A Sojourn in the Abyss: Hypothesis, Theory, and Established Truth in Infant Head Injury

Miller, Marvin E.; Leestma, Jan E.; Barnes, Patrick D.; Carlstrom, T. N.; Gardner, Horace B.; Plunkett, John; Stephenson, John B.; Thibault, Kirk L.; Uscinski, Ron; Niedermier, Julie; Galaznik, John G.

doi:10.1542/peds.114.1.326

Cited by 10 publications

(5 citation statements)

References 7 publications

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“…Some writers 26,27 have opined that infants cannot be shaken hard enough to cause intracranial and brain injury. A biomechanical argument has been made that if shaking could cause intracranial injury, cervical spine injury should universally accompany it.…”

Section: Discussionmentioning

confidence: 99%

Cervical Spinal Cord Injury in Abused Children

Feldman

Avellino

Sugar

et al. 2008

Pediatric Emergency Care

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Five infants and toddlers who sustained cervical spinal cord injury as the result of child abuse are described. Three cases are previously unreported. Diagnosis was complicated by coexistent brain injuries and their treatments, subtle and/or evolving paralysis, and central cord syndrome, in which arm function is diminished but leg function is preserved. Definitive spinal imaging by magnetic resonance imaging (MRI), computed tomography, and plain radiographs was delayed because of life support efforts. When completed, the MRI was most sensitive to cord injury. Evidence of associated bony spinal injury was often absent or unapparent until healing occurred; 4 children had spinal cord injury without (or with minimal) radiological abnormality. The 3 children presenting to our hospital with cord injury represent 1% of the estimated cases of inflicted head injury seen during a 23-year period.

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Section: Discussionmentioning

confidence: 99%

Cervical Spinal Cord Injury in Abused Children

Feldman

Avellino

Sugar

et al. 2008

Pediatric Emergency Care

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“…9 Developmental changes in the normal EEG, background EEG abnormalities, and ''non-epileptogenic epileptiform'' abnormalities have all been used to erroneously support the diagnosis of epilepsy. The standard of EEG reporting is very variable.…”

Section: The Eeg Is Abusedmentioning

confidence: 99%

Preventing misdiagnosis of epilepsy

Ferrie

2006

Archives of Disease in Childhood

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“…The author belongs to a group of experts who feels that the diagnosis of abusive head trauma is made too often and that in many cases another underlying disorder should be present. 13 Causes presented by this group of experts, for example, the unified hypothesis and dysphagic choking, are in many cases not supported by the majority of clinicians, involved in the care and well-being of children (abused or not). In a joint statement, the Royal College of Pathologists and the Royal College of Paediatrics and Child Health, specifically stated that 'that the courtroom is not a place used by doctors to fly their personal kites or push a theory from the far end of the medical spectrum'.…”

mentioning

confidence: 97%