Child Abuse, Brain

KEY FACTS Terminology Nonaccidental trauma, abusive head trauma (AHT) Traumatic injury inflicted on infants & children by adults Imaging Direct impact injury: Direct blow to cranium or impact of skull on object Calvarial (often complex) & skull base fractures Focal brain injury deep to impact Shaking injury: Result of violent “to & fro” motion of head Subdural hematomas (SDH) in 90-98% Generalized parenchymal injuries (cytotoxic edema,…