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Chapter 4 - The Importance of the Correlation between Radiology and Pathology in Shaken Baby Syndrome

from Section 2 - Medicine

Published online by Cambridge University Press:  07 June 2023

By
Julie Mack  and
Waney Squier
Edited by
Keith A. Findley ,
Cyrille Rossant ,
Kana Sasakura ,
Leila Schneps ,
Waney Squier  and
Knut Wester
Keith A. Findley
Affiliation:
University of Wisconsin, Madison
Cyrille Rossant
Affiliation:
University College London
Kana Sasakura
Affiliation:
Konan University, Japan
Leila Schneps
Affiliation:
Sorbonne Université, Paris
Waney Squier
Affiliation:
John Radcliffe Hospital, Oxford
Knut Wester
Affiliation:
Universitetet i Bergen, Norway
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Summary

This chapter focuses on the correlation of radiologic imaging with pathologic findings in infants and children with brain insults. Imaging is usually obtained while the child is alive, often shortly after a change in mental status. The imaging studies can therefore serve as a powerful tool to diagnose alterations of the macroscopic anatomy contributing to brain dysfunction. It is often not the anatomic abnormalities seen on imaging that are disagreed upon in cases of suspected shaken baby syndrome (SBS) or abusive head trauma (AHT); instead, the disagreements centre around what conclusions can be drawn from the anatomic alterations that have been identified. This chapter explores the strengths and weaknesses of radiologic imaging in the context of suspected AHT and emphasises the importance of understanding the pathologic basis of diagnoses made on imaging studies.

Keywords

radiological/ pathological correlationCTMRIspinal ligamentous injuriessubcortical contusionsbridging vein thrombosisarachnoid tear
Type
Chapter
Information
Shaken Baby Syndrome
Investigating the Abusive Head Trauma Controversy
 , pp. 66 - 84
Publisher: Cambridge University Press
Print publication year: 2023

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