Infants with shaken baby syndrome (SBS) ?the most common cause of severe traumatic brain injuries in young children ?are often misdiagnosed because doctors rarely receive a history that an infant has been shaken, the patients are too young to talk, and the symptoms such as vomiting and fussiness are common in many childhood illnesses. Infants who are misdiagnosed may be inadvertently returned to a violent caretaker and be re-injured, sometimes with fatal consequences.
Rachel Pardes Berger, MD, MPH, of Children's Child Advocacy Center, in collaboration with P. David Adelson, MD, of the Division of Pediatric Neurosurgery, and Patrick M. Kochanek, MD, of the Department of Pediatric Critical Care Medicine, both at Children's, have found that biomarkers may able to assist in identifying infants who have a brain injury that might otherwise be missed and who would benefit from additional evaluation with a head computed tomography (CT) scan. Identifying cases of SBS that might otherwise be missed has important implications for decreasing morbidity and mortality.
The findings are published in the February issue of Pediatrics, the official journal of the American Academy of Pediatrics.
"Proper diagnosis of inflicted traumatic brain injury, or shaken baby syndrome, is often difficult even for experienced and astute physicians because caregivers rarely provide a history of trauma, children present with nonspecific symptoms such as vomiting, and the physical examination can be completely normal," said Dr. Berger, who also is an assistant professor of Pediatrics at the University of Pittsburgh School of Medicine. "As a result, misdiagnosis is common and can have catastrophic medical consequences."
Dr. Berger added,
Source:Children's Hospital of Pittsburgh