ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2010
Confessed abuse versus witnessed accidents in infants: comparison of clinical, radiological, and ophthalmological data in corroborated cases.
Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 5 of them syntheses that pooled it.
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Who cites it
65 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Abusive head trauma in children under 2 years of age in Latin America: a systematic review.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026Pooled it
- [Bridging vein injuries in shaken baby syndrome : Forensic-radiological meta-analysis with special focus on the tadpole sign].Der Radiologe · 2021Pooled it
- Identifying children exposed to maltreatment: a systematic review update.BMC pediatrics · 2020Pooled it
- Traumatic shaking: The role of the triad in medical investigations of suspected traumatic shaking.Acta paediatrica (Oslo, Norway : 1992) · 2018Pooled it
- Is early detection of abused children possible?: a systematic review of the diagnostic accuracy of the identification of abused children.BMC pediatrics · 2013Pooled it
- Medical findings in young patients with head trauma: How strong is the evidence for abuse?International journal of legal medicine · 2026Article
- Article
- AHT diagnoses: The influences of clinical presentation and evidence of impact.Child abuse & neglect · 2026Article
- Magnetic resonance imaging-based detection of retinal hemorrhages in a multicenter cohort of abusive head trauma.Pediatric radiology · 2026Article
- Single stab injuries to the trunk in survivors of corroborated assaults.International journal of legal medicine · 2026Article
- A critical review of the American Academy of Pediatrics technical report on abusive head trauma.Forensic science international. Synergy · 2025Review
- Exploration of circulating metabolites in infants with abusive head trauma.Current research in neurobiology · 2025Article
- Commentary on Witnessing Abusive Head Trauma: Accidents Show Higher Rates of Intracranial Pathologies Than Shaking-Caution Is Warranted.Annals of the Child Neurology Society · 2025Article
- Shaken Baby Syndrome/Abusive Head Injury: The Role of Expert Witness Testimony and a Recent Case Development.Journal of bioethical inquiry · 2025Article
- Spinal cord injury in abusive and accidental head injury in children, a neuropathological investigation.International journal of legal medicine · 2025Article
- [Important insights into the context and history of shaken baby syndrome and abusive head trauma (AHT)].Die Ophthalmologie · 2024Article
- Clinical and Forensic Investigation Protocols for Diagnosing Abusive Head Trauma: A Literature Review.Diagnostics (Basel, Switzerland) · 2023Review
- New Insights into the Diagnosis and Age Determination of Retinal Hemorrhages from Abusive Head Trauma: A Systematic Review.Diagnostics (Basel, Switzerland) · 2023Review
- Article
- Why admitted cases of AHT make a low quality reference standard: A survey of people accused of AHT in France.Forensic science international. Synergy · 2023Article
5 more citing papers are in PubMed but not listed here.
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe diagnosis of inflicted head injury (IHI) or accidental trauma (AT) in infants is based on clinical, radiological, and/or ophthalmological findings such as subdural hematoma (SDH), encephalopathy, retinal hemorrhage (RH), and signs of impact. As a consequence, the diagnostic value of these criteria is difficult to assess because of a circularity bias. PURPOSE: In order to assess the predictive value of these diagnostic criteria avoiding circularity, we studied prospectively corroborated cases of head injuries in infants, comparing IHI with AT. MATERIAL AND
methodsWe selected 45 cases of confessed IHI and 39 cases of AT having occurred in public places. Patients were systematically evaluated clinically, with computed tomography scanner and ophthalmological evaluation by a trained ophthalmologist. RH was rated as absent, mild, and severe, according to the depth and extent of the RH.
resultsBrain ischemia was found in 26.7% of IHI; the most prominent elements in favor of IHI were SDH, severe RH, and absence of signs of impact; the predictive diagnostic values of these three features were 0.685, 0.961, and 0.830, respectively; however, only severe RH in the absence of ocular impact was specific of IHI. When all three features were combined, the specificity was 100%, but the sensitivity was only 24.4%.
conclusionOur study confirms the high diagnostic value of RH, SDH, and signs of impact for the differential diagnosis between AT and IHI. The evaluation of head injuries in infants requires a high level of awareness and thorough and systematic examination by a trained multidisciplinary team.
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