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Five Cases of Shaken Baby Syndrome

Journal of the Korean Pediatric Society 2003;46(4):404-408.
Published online April 15, 2003.
Five Cases of Shaken Baby Syndrome
Ok Yeon Cho1, Kwon Hoe Huh1, Do Jun Cho1, Dug Ha Kim1, Ki Sik Min1, Ki Yang Yoo1, Yul Lee2
1Department of Pediatrics, College of Medicine, Hallym University, Anyang, Korea
2Department of Radiology, College of Medicine, Hallym University, Anyang, Korea
흔들린 아이 증후군 5례
조옥연1, 허권희1, 조도준1, 김덕하1, 민기식1, 유기양1, 이열2
1한림대학교 의과대학 소아과학교실
2한림대학교 의과대학 진단방사선과학교실
Correspondence: 
Ki Sik Min, Email: ksmin@hallym.or.kr
Abstract
Shaken baby syndrome is a serious form of child abuse, mostly involving children younger than 2 years. It results from extreme rotational cranial acceleration induced by violent shaking. The characteristic injuries include subdural hemorrhage, retinal hemorrhage, and fracture of ribs or long bones. If physicians have no recognition of, or suspicion about, shaken baby syndrome, this syndome is difficult to diagnosis because of a lack of obvious external signs and failure of the abuser to admit his or her actions. In addition to the high mortality, 60% of survivors have significant long term neurologic and developmental abnormality. The authors experienced five cases of shaken baby syndrome presented with seizures or vomiting, without external signs of trauma. All of these cases had subdural hemorrhages, and four cases had retinal hemorrahges. In our follow up, two children were found to have sequelae such as quadriplegia, monoplegia, and developmental delay. We emphasize that early recognition and prompt treament are key to overall success of case management. The incidence of shaken baby syndrome can be reduced through public awareness and education of parents not to shake a babies.
Key Words: Shaken baby syndrome, Subdural hemorrhage, Retinal hemorrhage


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