Method for differentiation in abusive head trauma from accidental head trauma

2015 Fiscal Year Final Research Report

• Project/Area Number: 24592182
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Cerebral neurosurgery
• Research Institution: National Hospital Organization Osaka National Hospital Institute for Clinical Reserch
• Principal Investigator: Yamasaki Mami 独立行政法人国立病院機構大阪医療センター(臨床研究センター), その他部局等, 研究員 (10359309)
• Project Period (FY): 2012-04-01 – 2016-03-31
• Keywords: 小児虐待による頭部外傷 / 乳幼児揺さぶられ症候群 / AHT/SBS / 画像所見 / 急性硬膜下血腫 / 慢性硬膜下血腫 / 眼底出血 / び漫性脳損傷

Outline of Final Research Achievements

Author divided 82 cases of abusive head trauma(AHT)/shaken baby syndrome(SBS) into six groups according to radiological findings. Group 1; diffuse brain injury with multiple contusion or cerebral hematoma. Group 2; acute thick subdural hematoma with severe midline shift. Group 3; acute thin subdural hematoma with diffuse brain swelling. Group 4; chronic subdural hematoma with new bleeding. Group 5 thin, mild subdural hematoma without parenchyma injury. Group 6; multiple skull fracture with or without subarachnoid hemorrhage, brain swelling, and epidural hematoma. Of 33 cases mechanical force are estimated as cases were injured due to hitting or throwing or dropping in Group1, violent shaking in Group 2 & Group 3, repeat shaking in Group 4, soft shaking in Group 5 and pressing in Group 6 respectively.

Free Research Field

医学　小児脳神経外科学