Niola, M.a , Musella, C.b , Paciello, L.a , Siani, P.c , Paternoster, M.a , Di Lorenzo, P.a
Abusive head trauma: Aspetti clinici e medico-legali
(2016) Quaderni ACP, 23 (3), pp. 119-123.
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84973926545&partnerID=40&md5=c2bea19083f026b9f22345045f7b111e
AFFILIATIONS: Dipartimento di Scienze Biomediche Avanzate, Cattedra di Medicina Legale, Università degli Studi di Napoli “Federico II”, Italy;
Direttore della Struttura Complessa di Medicina Legale, AORN “Santobono-Pausilipon”, Napoli, Italy;
Direttore della Struttura Complessa di Pediatria, AORN “Santobono-Pausilipon”, Napoli, Italy
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. © 2016, Associazione Culturale Pediatri. All rights reserved.
DOCUMENT TYPE: Article
