The significance of diffuse axonal injury in cases of shaken baby syndrome
The significance of diffuse axonal injury in cases of shaken baby syndrome
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Issue Date
2011
Authors
Rodriguez, James G.
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Abstract
Shaken baby syndrome has become a heated and controversial form of child abuse. It is a relatively young diagnostic form of pediatric inflicted head trauma with limited case studies available. Since its introduction as a possible diagnosis for such cases, we have seen changes to its diagnostic criteria and arguments in the field regarding the validity of its associated signs and symptoms. Possibly the most challenging aspect of gaining empirical research for this subject is the inability to truly emulate the biomechanics of an infant’s cervical and intracranial physiology. While some injuries observed can be quantified as very probable evidence of abusive head trauma, other injuries that have been associated with non-accidental head trauma are not as definitive. This literature examines diffuse axonal injury, a particular neuropathological finding associated with shaken baby syndrome. This paper will discuss the role of DAI in making a diagnosis of shaken baby syndrome, its consideration in publications for both the general public and the medical community, and ultimately its significance as courtroom evidence in these cases.
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Forensic sciences