Seminars in Pediatric Neurology
Volume 15, Issue 4 , Pages 178-184 , December 2008

Traumatic Spinal Cord Injury: Accidental Versus Nonaccidental Injury

  • Patrick D. Barnes, MD

      Affiliations

    • Lucile Packard Children's Hospital, Palo Alto, CA
    • Stanford University Medical Center, Stanford, CA
    • Corresponding Author InformationAddress reprint requests to Patrick D. Barnes, MD, Department of Radiology, Lucile Packard Children's Hospital, 725 Welch Road, Palo Alto, CA 94304
    • ,
  • Michael V. Krasnokutsky, MD

      Affiliations

    • Lucile Packard Children's Hospital, Palo Alto, CA
    • Stanford University Medical Center, Stanford, CA
    • ,
  • Kenneth L. Monson, PhD

      Affiliations

    • University of California San Francisco, San Francisco, CA
    • ,
  • Janice Ophoven, MD

      Affiliations

    • St Louis County Medical Examiner's Office, Woodbury, MN

References 

  1. Donohoe M. Evidence-based medicine and shaken baby syndrome part I: Literature review, 1966-1998. Am J Forensic Med Pathol. 2003;24:239–242
  2. Leestma J. Case analysis of brain injured admittedly shaken infants, 54 cases 1969-2001. Am J Forensic Med Pathol. 2005;26:199–212
  3. Lyons . Shaken Baby Syndrome: A Questionable Scientific Syndrome and a Dangerous Legal Concept. Utah Law Rev. 2003;1109
  4. Gena M”. Shaken baby syndrome: Medical uncertaintly casts doubt on convictions. Wisc Law Rev. 2007;701
  5. Le Fanu J. Wrongful diagnosis of child abuse—A master theory. J R Soc Med. 2006;98:249–254
  6. Mackey M. After the Court of Appeal: R v Harris and others [2005] EWCA crim 1980. Arch Dis Child. 2006;91:873–875
  7. Richards P, Bertocci G, Bonshek R, et al. Shaken baby syndrome (Before the court of appeal). Arch Dis Child. 2006;91:205–206
  8. Baath J. Shaken baby syndrome: The debate rages on U. Toronto Med J. 2005;83:22–23
  9. Squier W. Shaken baby syndrome: The quest for evidence. Develop Med Child Neurol. 2008;50:10–14
  10. Gilliland MGF. Use of the triad of scant SDH, brain swelling, and retinal hemorrhages to diagnose non-accidental injury is not scientifically valid. National Association of Medical Examiners National Meeting. 2006;October (abstr 53)
  11. David TJ. Non-accidental head injury—The evidence. Pediatr Radiol. 2008;38:S370–S377(suppl 3)
  12. Jaspan T. Current controversies in the interpretation of non-accidental head injury. Pediatr Radiol. 2008;38:S378–S387(suppl 3)
  13. Pang D, Wilberger JE. Spinal cord injury without radiographic abnormalities in children. J Neurosurg. 1982;57:114–129
  14. Tung GA, Kumar M, Richardson RC, et al. Comparison of accidental and nonaccidental traumatic head injury in children on noncontrast computed tomography. Pediatrics. 2006;118:627–633
  15. Christian CW, Taylor AA, Hertle RW, et al. Retinal hemorrhages caused by accidental household trauma. J Pediatr. 1999;135:125–127
  16. Steinbok P, Singhal A, Poskitt K, et al. Early hypodensity of computed tomographic scan of the brain in an accidental pediatric head injury. Neurosurgery. 2007;60:689–695
  17. Vinchon M, Noule N, Tchofo PJ, et al. Imaging of head injuries in infants: temporal correlates and forensic implications for the diagnosis of child abuse. J Neurosurg. 2004;101:44–52
  18. McNeeley PD, Atkinson JD, Saigal G, et al. Subdural hematomas in infants with benign enlargement of the subarachnoid spaces are not pathognomonic for child abuse. AJNR Am J Neuroradiol. 2006;27:1725–1728
  19. Sirotnak AP. Medical disorders that mimic abusive head trauma. In:  Frasier L,  Rauth-Farley K,  Alexander R, et al. editor. Abuse Head Trauma in Infants and Children. ed 1. St Louis, MO: GW Medical Publishing; 2006;p. 191–248
  20. Hymel KP, Jenny C, Block RW. Intracranial hemorrhage and rebleeding in suspected victims of abuse head trauma: Addressing forensic controversies. Child Maltreat. 2002;7:329–348
  21. Barnes PD, Krasnokutsky MV. Imaging of the central nervous system in suspected or alleged nonaccidental injury, including the mimics. Top Magn Reson Imaging. 2007;18:53–74
  22. Twoney EL, Iemsawatdikul K, Stephens BG, et al. Multiple thoracic vertebral compression fractures caused by non-accidental injury: Case report with radiologicalpathological correlation. Pediatr Radiol. 2004;34:665–668
  23. Sane SM, Kleinman PK, Cohen RA. American Academy of Pediatrics (Section on Radiology Diagnostic imaging of child abuse). Pediatrics. 2000;105:1345–1348
  24. Ahmann PA, Smith SA, Schwartz JF, et al. Spinal cord infarction due to minor trauma in children. Neurology. 1975;25:301–307
  25. Riviello JJ, Marks HG, Faerber EN, et al. Delayed cervical central cord syndrome after trivial trauma. Pediatr Emerg Care. 1990;62:113–117
  26. Chen LS, Blaw ME. Acute central cervical cord syndrome caused by minor trauma. J Pediatr. 1986;108:96–97
  27. Cheshire DJ. The paediatric syndrome of traumatic myelopathy without demonstrable vertebral injury. Paraplegia. 1977;15:74–85
  28. Launay F, Leet AI, Sponseller PD. Pediatric spinal cord injury without radiographic abnormality: A meta-analysis. Clin Orthop Relat Res. 2005;433:166–170
  29. Brown RL, Brunn MA, Garcia VF. Cervical spine injuries in children: a review of 103 patients treated consecutively at a level 1 pediatric trauma center. J Pediatr Surg. 2001;36:1107–1114
  30. Geddes JF, Vowles GH, Hackshaw AK. Neuropathology of inflicted head injury in children I (Patterns of brain damage). Brain. 2001;124:1290–1298
  31. Geddes JF, Vowles GH, Hackshaw AK. Neuropathology of inflicted head injury in children II (Microscopic brain injury in infants). Brain. 2001;124:1299–1306
  32. Geddes JF, Tasker RC, Hackshaw AK, et al. Dural haemorrhage in non-traumatic infant deaths: does it explain the bleeding in ‘shaken baby syndrome’?. Neuropathol Appl Neurobiol. 2003;29:14–22
  33. Snyder RG, Schneider LW, Owings CL, et al. Anthropometry of infants, children, and youths of age 18 for product safety design (Final report). Consumer Product Safety Commission. 1977;UM-HSRI-77-17, May 31
  34. Prange M, Luck J, Dibb A, et al. Mechanical properties and anthropometry of the human infant head. Stapp Car Crash J. 2004;48:279–299
  35. Weber W. Experimental studies of skull fractures in infants. Z Rechtsmed. 1984;92:87–94
  36. Weber W. Biomechanical fragility of the infant skull. Z Rechtsmed. 1985;94:93–101
  37. Goldsmith W, Monson KL. On the state of head injury biomechanics—Past, present, and future (Part 2: Physical experimentation). Crit Rev Biomed Eng. 2005;33:105–207
  38. Plunkett J. Fatal pediatric head injuries caused by short-distance falls. Am J Forensic Med Pathol. 2001;22:1–12
  39. Gardner HB. A witness short fall mimicking presumed shaken baby syndrome (inflicted childhood neurotrauma). Pediatr Neurosurg. 2007;43:433–435
  40. Bandak FA. Shaken baby syndrome: A biomechanics analysis of injury mechanisms. Forensic Sci Int. 2005;151:71–79
  41. Margulies S, Prange M, Myers BS, et al. Shaken baby syndrome: A flawed biomechanical analysis. Forensic Sci Int. 2005;164:278–279
  42. Bandak FA. Author's reply to “shaken baby syndrome: A flawed biomechanical analysis.. ” Forensic Sci Int. 2005;164:282–283
  43. Prange MT, Coats B, Duhaime AC, et al. Anthropomorphic simulations of falls, shakes, and inflicted impacts in infants. J Neurosurg. 2003;99:143–150
  44. Hymel KP, Abshire TC, Luckey DW, et al. Coagulopathy in pediatric abusive head trauma. Pediatrics. 1997;99:371–375
  45. Miner KE, Kaufman HH, Graham SH, et al. Disseminated intravascular coagulation fibrinolytic syndrome following head injury in children: Frequency and prognostic implications. J Pediatr. 1982;100:687–691
  46. Geddes JF, Talbert DG. Paroxysmal coughing, subdural and retinal bleeding: A computer modeling approach. Neuropathol Appl Neurobiol. 2006;32:625–634
  47. Talbert DG. Paroxysmal couph injury, vascular rupture and ‘shaken baby syndrome.. ’ Med Hypotheses. 2005;64:8–13
  48. American Academy of Pediatrics red book online. Pertussis. http://www.aapredbook.aappublications.org/cgi/content/extract/2006Accessed November 2008
  49. Lantz PE, Sinal SH, Stanton CA, et al. Perimacular retinal folds from childhood head trauma. BMJ. 2004;328:754–756
  50. Ebube O, Watts P. Are there any pathognomonic signs in shaken baby syndrome?. J AAPOS. 2007;11:99–100(abstr)
  51. Goetting MG, Sowa B. Retinal hemorrhage after cardiopulmonary resuscitation in children: An etiologic reevaluation. Pediatrics. 1990;85:585–588
  52. Lantz PE, Stanton CA. Postmortem Detection and Evaluation of Retinal Hemorrhages. Seattle, WA: American Academy of Forensic Sciences; 2006;
  53. Lueder GT, Turner JW, Paschall R. Perimacular retinal folds simulating nonaccidental injury in an infant. Arch Ophthalmol. 2006;124:1782–1783
  54. Gilles EE, McGregor ML, Levy-Clarke G. Retinal hemorrhage asymmetry in inflicted head injury: A clue to pathogenesis?. J Pediatr. 2003;143:494–499
  55. Obi E, Watts P. Are there any pathognomonic signs in shaken baby syndrome?. J AAPOS. 2007;11:99–100
  56. Brown S, Levin AV, Ramsey D, et al. Natural animal shaking: A model for inflicted neurotrauma in children?. J AAPOS. 2007;11:85–86
  57. Binenaum G, Forbes BJ, Raghupathi R, et al. An animal model to study retinal hemorrhages in nonimpact brain injury. J AAPOS. 2007;11:84–85
  58. Myklebust J, Sances AJ, Maiman DJ, et al. Experimental spinal trauma studies in the human and monkey cadaver. In: Proceedings of Stapp Car Crash Conference. October 1983. 1983;p. 149–161San Diego, CA
  59. Yamada H. Strength of Biological Materials. Baltimore, MD: Williams and Wilkins; 1970;
  60. Nuckley DJ, Eck MP, Carter JW, et al. Spinal maturation affects vertebral compressive mechanics and BMD with sex dependence. Bone. 2004;35:720–728
  61. Van Staa TP, Leufkens HGM, Abenhaim L, et al. Oral corticosteroids and fracture risk: Relationship to daily and cumulative doses. Rheumatology. 2000;39:1383–1389
  62. Yen D, Hedden D. Mutiple vertebral compression fractures in a patient treated with corticosteroids for cystic fibrosis. Can J Surg. 2002;45:383–384
  63. Makitie O, Doria A, Henriques F, et al. Radiographic vertebral morphology: A diagnostic tool in pediatric osteoporosis. J Pediatr. 2005;146:395–401

PII: S1071-9091(08)00078-8

doi: 10.1016/j.spen.2008.10.009

Seminars in Pediatric Neurology
Volume 15, Issue 4 , Pages 178-184 , December 2008

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