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

  • from Section 2 - Medicine
  • Edited by Keith A. Findley, University of Wisconsin, Madison, Cyrille Rossant, University College London, Kana Sasakura, Konan University, Japan, Leila Schneps, Sorbonne Université, Paris, Waney Squier, John Radcliffe Hospital, Oxford, Knut Wester, Universitetet i Bergen, Norway
  • Book:
    Shaken Baby Syndrome
    Published online:
    07 June 2023
    Print publication:
    08 June 2023, pp 66-84

  • 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.