• 作者：M. Carmen Carrascosa Romero^a ; ; Antonio Rosano Ferná ; ndez^b ; Carmen Escudero Cantó ; ^c ; M. Carmen Medina Monzó ; n^c ; Tomá ; s Cros Ruiz de Galarreta^d
• 关键词：Fractura craneal ; Maltratos ; Niñ ; o sacudido ; Recié ; n nacido ; Traumatismo craneoencefá ; lico ; Traumatismo no accidental
• 刊名：Revista Espa帽ola de Medicina Legal
• 出版年：2011
• 期刊代码：pca314_03774732
• 类别：med
• 出版时间：July-September 2011
• 卷：37
• 期：3
• 页码：117-121
• 文件大小：972 K

Accidental head injuries are less frequent and severe in the newborn due to increased monitoring by parents or caregivers and the greater elasticity of the skull. When they do happen, they are dropped from a low height and usually occur in the presence of witnesses, which is why young infants, severe traumatic brain injury (TBI), with no apparent cause and in the absence of witnesses, is a marker of suspicion of abuse. The image of subdural haematoma demonstrated by neuroimaging and not explained by other causes suggests a non-accidental brain injury usually associated with 鈥渟haken baby syndrome.鈥?Similarly, the fact that a skull fracture is multiple, bilateral, or as in this case crossing the sutures, is considered suspicious of having their origin in abuse. The important medico-legal implications and legal process, make it essential to recognise the diagnostic imaging of child abuse.