The not uncommon occurrence of Abusive Head Trauma (AHT) together with the difficulties in diagnosis, the risk of recurrence of violent conduct as well as the important neurological sequelae make it appropriate to conduct extensive cognitive studies aimed at identifying the clinical and instrumental criteria useful for the diagnosis of the aforementioned abuse syndrome. Approximately 30-50% of shaken children present, as sequelae of brain trauma, major neurological and cognitive deficits; from 7 to 30% die from the consequences associated with AHT. The diagnosis of AHT is difficult to formulate because frequently there is no external injury and there are no specific symptoms, so a differential diagnosis with other pathological aspects is necessary. The Authors seek to promote a more widespread knowledge of the clinical signs that characterize this syndrome, as well as to establish guidelines to facilitate diagnosis.
Abusive head trauma: aspetti clinici e medico-legali / Niola, Massimo; Musella, Carlo; Paciello, Loriana; Siani, Paolo; Paternoster, Mariano; DI LORENZO, Pierpaolo. - In: QUADERNI ACP. - ISSN 2039-1374. - 23:3(2016), pp. 119-123.
Abusive head trauma: aspetti clinici e medico-legali
NIOLA, MASSIMO;PACIELLO, LORIANA;PATERNOSTER, MARIANO;DI LORENZO, PIERPAOLO
2016
Abstract
The not uncommon occurrence of Abusive Head Trauma (AHT) together with the difficulties in diagnosis, the risk of recurrence of violent conduct as well as the important neurological sequelae make it appropriate to conduct extensive cognitive studies aimed at identifying the clinical and instrumental criteria useful for the diagnosis of the aforementioned abuse syndrome. Approximately 30-50% of shaken children present, as sequelae of brain trauma, major neurological and cognitive deficits; from 7 to 30% die from the consequences associated with AHT. The diagnosis of AHT is difficult to formulate because frequently there is no external injury and there are no specific symptoms, so a differential diagnosis with other pathological aspects is necessary. The Authors seek to promote a more widespread knowledge of the clinical signs that characterize this syndrome, as well as to establish guidelines to facilitate diagnosis.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.