Shaken baby syndrome
Shaken baby syndrome
Shaken baby syndrome — also known as abusive head trauma, shaken impact syndrome, inflicted head injury or infant whiplash syndrome — is a serious brain injury that occurs when an infant or toddler is forcefully shaken. Shaken baby syndrome destroys a child's brain cells and prevents his or her brain from getting enough oxygen. Shaken baby syndrome is a form of child abuse that can result in permanent brain damage or death.
Shaken baby syndrome is preventable. Help is available for parents who are at risk of harming a child. Parents also can educate other caregivers about the dangers of shaken baby syndrome.
Shaken baby syndrome symptoms and signs include:
Other injuries that may not be noticeable include bleeding in the brain and eye, damage to the spinal cord and neck, and fractures of the ribs, skull and bones. Evidence of prior child abuse also is common.
In mild cases of shaken baby syndrome, a child may appear normal after being shaken — but over time he or she may develop health, learning or behavior problems.
When to see a doctor
Babies have weak neck muscles and often struggle to support their heavy heads. If a baby is forcefully shaken, his or her fragile brain moves back and forth inside the skull. This causes bruising, swelling and bleeding.
Shaken baby syndrome usually occurs when a parent or caregiver severely shakes a baby or toddler due to frustration or anger — often because the child won't stop crying. No behavior, however, justifies shaking a child.
Shaken baby syndrome isn't usually caused by bouncing a child on your knee, minor falls or even rough play.
For parents and other caregivers, factors that may increase the risk of inflicting shaken baby syndrome include:
Men are more likely to inflict shaken baby syndrome than are women.
Tests and diagnosis
A child who's been forcefully shaken may need to be examined by a number of medical specialists as well as an expert in child abuse. Various tests may be needed to detect injuries, such as:
Depending on the extent of the injuries, monitoring may be needed in a pediatric intensive care unit.
About half of children affected by shaken baby syndrome die. Survivors of shaken baby syndrome may require lifelong medical care for conditions such as:
Treatments and drugs
Emergency treatment for a child who has been shaken may include life-sustaining measures, such as breathing support and surgery to stop bleeding in the brain.
When your crying baby can't be calmed, you may be tempted to try anything to get the tears to stop — but it's important to always treat your child gently. It only takes a few seconds of shaking to cause irreversible brain damage in an infant. If you're having trouble managing your emotions or the stress of parenthood, seek help. Your child's doctor may offer a referral to a counselor or other mental health professional.
If other people help take care of your child — whether a hired caregiver, sibling or grandparent — make sure they know the dangers of shaken baby syndrome.
Last Updated: 2009-11-06
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