DÄ internationalArchive27/2009Shaken Baby Syndrome—A Common Variant of Nonaccidental Head Injury in Infants: Early Warning Signs

Correspondence

Shaken Baby Syndrome—A Common Variant of Nonaccidental Head Injury in Infants: Early Warning Signs

Dtsch Arztebl Int 2009; 106(27): 468. DOI: 10.3238/arztebl.2009.0468a

Stutzer, H

LNSLNS The review by Matschke et al. (1) refers to the important syndrome of retinal hemorrhage. This consequence of injury unfortunately tends to be neglected in the investigation of the shaken baby—despite the fact that experienced pediatricians consider it conclusive.

The non-invasive technique of funduscopy can clarify the diagnosis, particularly in cases of suspected abuse.

Furthermore, attention should be drawn to the early warning signs in shaken baby syndrome:

- Very young parents with slender psychosocial resources
- Mother's desire to discontinue breast feeding early
- Frequent visits to the doctor with trifling complaints, often outside office hours
- Poor sucking reflex, feeding problems, disturbed sleep
- Irritable or lethargic child

The German-language information campaign ‘Vorsicht zerbrechlich’ ("Caution, fragile") by Ute Thyen and Irene John can be found at www.kinderschutzbund-sh.de.
DOI: 10.3238/arztebl.2009.0468a


Dr. med. Harald Stutzer
Stahlhopsweg 32
31535 Neustadt, Germany
1.
Matschke J, Herrmann B, Sperhake J, Körber F, Bajanowski T, Glatzel M: Shaken baby syndrome—a common variant of nonaccidental head injury in infants [Das Schütteltrauma-Syndrom. Eine häufige Form des nicht akzidentellen Schädel-Hirn-Traumas im Säuglings-und Kleinkindesalter]. Dtsch Arztebl Int 2009, 106: 211–7. VOLLTEXT
1. Matschke J, Herrmann B, Sperhake J, Körber F, Bajanowski T, Glatzel M: Shaken baby syndrome—a common variant of nonaccidental head injury in infants [Das Schütteltrauma-Syndrom. Eine häufige Form des nicht akzidentellen Schädel-Hirn-Traumas im Säuglings-und Kleinkindesalter]. Dtsch Arztebl Int 2009, 106: 211–7. VOLLTEXT