This book presents the latest findings about the impact, long-term effects and diagnosis of Shaken Baby Syndrome.

Highly acclaimed in its first edition and thoroughly revised and expanded in this second edition, this volume uses an interdisciplinary approach and covers trauma to each body region, pyschosocial considerations, normal variants, disease simulating abuse, congenital malformations, dating fractures, and much more. This edition contains a heavier emphasis on MRI, expanded discussion of differential diagnosis, expanded legal issues and the addition of recent scientific work relevant to diagnosing child abuse.

Sports concussions make headlines, but you don't have to be an NFL star to suffer traumatic brain injury. In Shaken Brain, Elizabeth Sandel, MD, shares stories and research from her decades treating and studying brain injuries. She explains what concussions do to our bodies, how to avoid them, and how to recover.

I was gratified by the most favorable reception and wide usage received by the first edition of this book. A decade seems to be a short period for a book on pathology, and yet it witnessed many important changes of concepts, along with a formidable growth of knowledge. The second edition required extensive reorganization. There are new chapters on mitochondriopathies, on peroxisomal diseases and on spongy myelino pathies. Major revisions and new additions were necessary in many chapters, for instance those on the dysplasias of the cerebral and of the cerebellar hemispheres, which were largely reorganized. The chapters on perinatal pathology were reordered and reorganized to give a more logical sequence of prenatal, perinatal and postnatal lesions. The entire text was worked over for brevity. A wealth of new references was added with the. aim of staying abreast with the literature up to summer 1988. All refer ences were double checked for errors. My gratitude goes to Mrs. Gisela Ropte and Mrs. Cynthia Bunker for their untiring, diligent help. As a result, this second edition is an essentially rewritten text. Advance in the prevention of human suffering is based on a thorough understand ing of the nature of disease. I hope that this text will continue to be of service in this behalf. Perhaps it may also reflect and foster the intellectual curiosity which makes the "reading of brains" so interesting an occupation. Gottingen, 1989 Reinhard L.

This academic research volume explores non-accidental head injury in babies and young children, covering medical, social, and legal aspects of this phenomenon, as well as the responsibilities of professionals, child protection agencies and the media in this area.

Clinics in Developmental Medicine No. 162 The Research Programme on Shaken Baby Syndrome in Edinburgh is internationally recognised for its prominent ongoing research into the epidemiology, bio-mechanics, primary and secondary brain insults, neuroradiological aspects, medical-social aspects, and neurodevelopmental and neuropsychometric sequelae of shaking a baby. In this book, a highly distinguished team of experts from the programme present the clinician with the latest findings on the syndrome, covering the diagnosis of the syndrome itself and the long-term disability that results which, unlike other forms of child abuse associated with psychological scars, is also associated with a high degree of life-long physical and intellectual disability. This will be invaluable reading for all professionals concerned with diagnosing and treating this syndrome.

Forensic pathologists are frequently asked to describe the interval between injury and the onset of symptoms in child abuse head injury deaths. A prospective, postmortem study examined the interval between injury and onset of symptoms in 76 head injury deaths in which this information was available. The head injury deaths were divided by mechanism of injury. The mechanisms were shake (no impact), combined shake and blunt impact, and blunt impact (no history of shaking) The interval was less than 24 hours in 80% of shakes, 71.9% of combined, and 69.2% of blunt injuries. The interval was greater than 24 hours in more than 25% of each of these latter groups and was more than 72 hours in four children. The variable intervals between injury and severe symptoms warrant circumspection in describing the interval for investigators or triers of fact. It should be noted that in all of the cases where information was supplied by someone other than the perpetrator, the child was not normal during the interval.