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Query: UMLS:C0085584 (encephalopathy)
 18,178 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Nearly all non accidental head injuries of children are shaken baby syndromes. The non accidental head trauma refers to a traumatic encephalopathy inflicted by an adult to a child. The syndrome combines subdural haematoma, retinal haemorrhages and absence of any external lesion. The mortality and morbidity rates of the SBS are high and the SBS is the main cause of death in hospitals handling child abuse. The incidence is not well-known and most probably underestimated. Numerous risk factors linked to the aggressor, to the victim and to the factual context have been identified. The diagnosis remains difficult to make, mainly due to the absence of reliable anamnesis in a majority of cases. It should be envisaged for all infants presenting unexplained acute encephalopathy. Imagery and ophthalmologic examination are the first examinations that are required to make such diagnosis. A cerebral RMI allowed for important progress both on the level of the diagnosis and the prognosis as well as on the level of the understanding of lesions. The physiopathogeny of this syndrome has considerably progressed in recent years which raise promising prospects for therapy. The treatment of babies with SBS requires highly competent teams including paediatric neurosurgeons but also teams specialised in child abuse which can quickly take care of the families. In view of the seriousness of the problem, several communication campaigns directed to young parents and the public have been organized recently in several countries among which Belgium.
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PMID:[Shaken baby syndrome]. 1989 68

The Swedish Agency for Health Technology Assessment and Assesment of Social Services (SBU) is an independent national authority, tasked by the government with assessing methods used in health, medical and dental services and social service interventions from a broad perspective, covering medical, economic, ethical and social aspects. The language in SBU's reports are adjusted to a wide audience. SBU's Board of Directors has approved the conclusions in this report. The systematic review showed the following graded results: There is limited scientific evidence that the triad (Three components of a whole. The triad associated with SBS usually comprises subdural haematoma, retinal haemorrhages and encephalopathy.) and therefore, its components can be associated with traumatic shaking (low-quality evidence). There is insufficient scientific evidence on which to assess the diagnostic accuracy of the triad in identifying traumatic shaking (very low-quality evidence). Limited scientific evidence (low-quality evidence) represents a combined assessment of studies of high or moderate quality which disclose factors that markedly weaken the evidence. It is important to note that limited scientific evidence for the reliability of a method or an effect does not imply complete lack of scientific support. Insufficient scientific evidence (very low-quality evidence) represents either a lack of studies or situations when available studies are of low quality or show contradictory results. Evaluation of the evidence was not based on formal grading of the evidence according to GRADE but on an evaluation of the total scientific basis.
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PMID:Traumatic shaking: The role of the triad in medical investigations of suspected traumatic shaking. 3014 89