Open AccessShaken baby syndrome manifesting as infantile spasms seizure type
Author(s) -
Der-Shiun Wang,
Hueng-Chuen Fan,
Chih-Fen Hu,
ChunJung Juan,
Wan-Fu Hsu,
Shao-Wei Huang,
Shyi-Jou Chen
Publication year - 2014
Publication title -
yīxué yánjiū zázhì/journal of medical sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.176
H-Index - 12
eISSN - 2542-4939
pISSN - 1011-4564
DOI - 10.4103/1011-4564.131901
Subject(s) - crying , medicine , pediatrics , subdural hemorrhage , magnetic resonance imaging , shaken baby syndrome , hematoma , subarachnoid hemorrhage , head trauma , electroencephalography , corpus callosum , anesthesia , poison control , child abuse , surgery , radiology , injury prevention , pathology , psychiatry , medical emergency
The diagnosis of child maltreatment leading to head injury is challenging. Here, we present the case of a 3-month-old female infant who presented with focal seizures that lasted for several minutes. After admission, she began to show intermittent clusters of head nods, irritable crying, arching, writhing, stiffening, and jerking of both arms. These results and electroencephalography findings were attributed as the diagnosis of infantile spasms (IS). Brain computed tomography and magnetic resonance imaging (MRI) revealed the presence of chronic subdural hematoma mixed with acute ischemic injuries. Examination of the eye fundus confirmed the presence of retinal hemorrhage. Therefore, all evidence pointed to a diagnosis of shaken baby syndrome (SBS). Based on this case, we suggest that physicians should consider a diagnosis of SBS for children with new-onset IS and that should be evaluated, diagnosed, and treated as promptly as possible