Abstract
Child abuse is often suspected based on particular patterns of injury. We report a case of intracranial vertebral artery dissection with subarachnoid hemorrhage (SAH) in a 3-month-old boy following child abuse. The mechanisms of injury and the clinical and imaging findings are discussed. This particular pattern of injury has rarely been reported in association with child abuse. We hope to raise physician awareness of child abuse when faced with these imaging findings.
Similar content being viewed by others
References
Caffey J (1974) The whiplash shaken infant syndrome: manual shaking by the extremities with whiplash-induced intracranial and intraocular bleedings, linked with residual permanent brain damage and mental retardation. Pediatrics 54:396–403
Guthkelch AN (1971) Infantile subdural haematoma and its relationship to whiplash injuries. Br Med J 2:430–431
Chen CY, Zimmerman RA, Rorke LB (1999) Neuroimaging in child abuse: a mechanism-based approach. Neuroradiology 41:711–722
Demaeral P, Casteels I, Wilms G (2002) Cranial imaging in child abuse. Eur Radiol 12:849–857
Fullerton HJ, Johnston SC, Smith WS (2001) Arterial dissection and stroke in children. Neurology 57:1155–1160
Lam C, Montes J, Farmer JP et al (1996) Traumatic aneurysm from shaken baby syndrome: case report. Neurosurgery 39:1252–1255
Agner C, Weig SG (2005) Arterial dissection and stroke following child abuse: case report and review of the literature. Childs Nerv Syst 21:416–420
Sasaki O, Ogawa H, Koike T et al (1991) A clinicopathologic study of dissecting aneurysms of the intracranial vertebral artery. J Neurosurg 75:874–878
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Nguyen, P.H., Burrowes, D.M., Ali, S. et al. Intracranial vertebral artery dissection with subarachnoid hemorrhage following child abuse. Pediatr Radiol 37, 600–602 (2007). https://doi.org/10.1007/s00247-007-0479-0
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00247-007-0479-0