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Query: UMLS:C0040822 (tremor)
 18,428 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Violent shaking causes severe injury in infants, but the diagnosis of shaken baby syndrome is often difficult to make because of the lack of obvious external signs. Consultations by other specialists may not be helpful, since the findings of most organ systems, taken in isolation, are usually nonspecific. Shaken baby syndrome should be considered in infants presenting with seizures, failure to thrive, vomiting associated with lethargy or drowsiness, hypothermia, bradycardia, hypertension or hypotension, respiratory irregularities, coma or death. Shaken babies are usually less than one year old, and most are under six months of age. Head injury (notably subdural hemorrhage) and retinal hemorrhages are the hallmarks of the syndrome.
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PMID:Shaken baby syndrome. 218 31

Violent shaking of young infants has a variety of ocular and systemic sequelae, including retinal and subdural hemorrhages, seizures, coma, and death. The syndrome can be difficult to recognize because of the lack of external signs. The retinal examination and computed tomographic findings are absolutely essential for making the diagnosis, but very little information is available concerning this disorder in the ophthalmology literature. This paper presents the findings of a case of shaken baby syndrome and discusses the challenges in diagnosis.
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PMID:Shaken baby syndrome. Ocular and computed tomographic findings. 295 83

The widely accepted theories concerning the pathophysiology of infant subdural haematoma (SDH) were formulated in the pre-computed tomographic (CT) scan era. Violent shaking is considered to be a crucial cause of SDH in non-accidentally injured infants. This theory has been re-examined in a clinical and CT scan review, and our findings have been correlated with results of recent head injury research. A retrospective review was conducted of all head injured infants (up to 18 months old) treated at Atkinson Morley's Hospital over a recent 20-year period (n = 100). Twenty-eight infants with a SDH were identified. CT scans were reviewed and each SDH greater than 0.5 cm thick was morphometrically analysed. Seventeen infants were Caucasian, 10 were non-Caucasian and one was of mixed race. A race-dependent pattern of SDH pathophysiology was noted, with non-Caucasian infants with a head injury more likely to have a SDH than Caucasian infants (67 v 21%, p < 0.01). All had a history of, or radiographic and clinical findings most consistent with, an impact injury, and non-Caucasian infants were significantly more likely to have a normal scalp examination despite the impact injury (p < 0.05) and to have developed the SDH after a relatively trivial fall (p < 0.01). They were also more likely to have a large (> 0.5 cm thick) SDH (p < 0.05), and to suffer post-traumatic seizures (p < 0.05). Our findings do not support shaking as the only cause of infant SDH formation and also suggest that non-accidental injury is a less common cause of SDH than it is believed to be.
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PMID:The pathophysiology of infant subdural haematomas. 821 5

Head injuries are the leading cause of death in infants younger than 1 year old, and many of these injuries are the result of child abuse. Violent shaking is a form of child abuse that can cause severe head trauma, particularly to infants. This pattern of injuries is known as shaken baby syndrome (SBS). Although SBS can cause serious injuries such as retinal hemorrhage or subdural hematoma, it is difficult to diagnose because SBS often leaves no external evidence of abuse. This article reviews the most common cranial injuries associated with SBS, describes the mechanism of each injury and presents clinical signs and symptoms. It also investigates the use of computed tomography and magnetic resonance imaging to diagnose head trauma associated with SBS.
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PMID:The shaken baby syndrome: diagnosis using CT and MRI. 882 18

A witnessed fall backwards of an infant from a sitting position resulted in the subdural hematoma and retinal hemorrhages characteristic of presumed shaken baby syndrome. Violent shaking is not necessary to produce these findings.
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PMID:A witnessed short fall mimicking presumed shaken baby syndrome (inflicted childhood neurotrauma). 1912 99