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.

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.

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.

In 1971 Norma Guthkelch, retired neurosurgeon, published the first description of the Shaken Baby Syndrome (SBS). Within the next several years John Caffey, pediatric radiologist, wrote several articles supporting the SBS theory. Very soon after, when infants were brought into hospital emergency rooms in the U.S.A. with brain hemorrhages without known accidental explanations such as auto accidents or high distance falls, almost routinely the hemorrhages have been attributed to SBS or related diagnoses resulting in criminal conviction of parents or caretakers. These and other issues such as inflicted child abuse, non-accidental trauma, failure to protect, and other diagnoses are reviewed in this book Since the original introduction of the SBS theory, conclusive evidence has emerged proving that these prosecutions have been founded upon tainted medical opinions and fundamentally flawed scientific methodology (i.e. junk science). It requires little imagination to understand the significant mental pain which parents undergo while grieving over the death of a child, as frequently occurs in these cases. Accusing this parent of murdering their child (with no real evidence) and putting the entire strength of the state behind this accusation is monstrous, when the entire accusation pivots upon facts which are now known to be false. Loss of job, loss of family and community ties follow the accusation. Moreover, the general public, the grand and petite juries, the states and the parties, all have an overwhelmingly strong interest in knowing if these prosecutions are founded upon reasonable interpretation of the facts or if the accusations are built around falsehoods and scientific impossibilities. Quoted from the writings of Kent Holcomb.