Shaken baby syndrome manifesting as infantile spasms seizure type
The diagnosis of child maltreatment leading to head injury is challenging. Here, we present the case of a 3-month-old female infant who presented with focal seizures that lasted for several minutes. After admission, she began to show intermittent clusters of head nods, irritable crying, arching, wri...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2014-01-01
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| Series: | Journal of Medical Sciences |
| Subjects: | |
| Online Access: | http://jms.ndmctsgh.edu.tw/article.asp?issn=1011-4564;year=2014;volume=34;issue=2;spage=81;epage=83;aulast=Wang |
| _version_ | 1818536218192773120 |
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| author | Der-Shiun Wang Hueng-Chuen Fan Chih-Fen Hu Chun-Jung Juan Wan-Fu Hsu Shao-Wei Huang Shyi-Jou Chen |
| author_facet | Der-Shiun Wang Hueng-Chuen Fan Chih-Fen Hu Chun-Jung Juan Wan-Fu Hsu Shao-Wei Huang Shyi-Jou Chen |
| author_sort | Der-Shiun Wang |
| collection | DOAJ |
| description | The diagnosis of child maltreatment leading to head injury is challenging. Here, we present the case of a 3-month-old female infant who presented with focal seizures that lasted for several minutes. After admission, she began to show intermittent clusters of head nods, irritable crying, arching, writhing, stiffening, and jerking of both arms. These results and electroencephalography findings were attributed as the diagnosis of infantile spasms (IS). Brain computed tomography and magnetic resonance imaging (MRI) revealed the presence of chronic subdural hematoma mixed with acute ischemic injuries. Examination of the eye fundus confirmed the presence of retinal hemorrhage. Therefore, all evidence pointed to a diagnosis of shaken baby syndrome (SBS). Based on this case, we suggest that physicians should consider a diagnosis of SBS for children with new-onset IS and that should be evaluated, diagnosed, and treated as promptly as possible. |
| first_indexed | 2024-12-11T18:35:07Z |
| format | Article |
| id | doaj.art-4b6e25c8a2ce42a8ba9f253a987a1bae |
| institution | Directory Open Access Journal |
| issn | 1011-4564 |
| language | English |
| last_indexed | 2024-12-11T18:35:07Z |
| publishDate | 2014-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Medical Sciences |
| spelling | doaj.art-4b6e25c8a2ce42a8ba9f253a987a1bae2022-12-22T00:54:47ZengWolters Kluwer Medknow PublicationsJournal of Medical Sciences1011-45642014-01-01342818310.4103/1011-4564.131901Shaken baby syndrome manifesting as infantile spasms seizure typeDer-Shiun WangHueng-Chuen FanChih-Fen HuChun-Jung JuanWan-Fu HsuShao-Wei HuangShyi-Jou ChenThe diagnosis of child maltreatment leading to head injury is challenging. Here, we present the case of a 3-month-old female infant who presented with focal seizures that lasted for several minutes. After admission, she began to show intermittent clusters of head nods, irritable crying, arching, writhing, stiffening, and jerking of both arms. These results and electroencephalography findings were attributed as the diagnosis of infantile spasms (IS). Brain computed tomography and magnetic resonance imaging (MRI) revealed the presence of chronic subdural hematoma mixed with acute ischemic injuries. Examination of the eye fundus confirmed the presence of retinal hemorrhage. Therefore, all evidence pointed to a diagnosis of shaken baby syndrome (SBS). Based on this case, we suggest that physicians should consider a diagnosis of SBS for children with new-onset IS and that should be evaluated, diagnosed, and treated as promptly as possible.http://jms.ndmctsgh.edu.tw/article.asp?issn=1011-4564;year=2014;volume=34;issue=2;spage=81;epage=83;aulast=WangShaken baby syndromeinfantile spasmselectroencephalographychronic subdural hematomaacute ischemic injuries |
| spellingShingle | Der-Shiun Wang Hueng-Chuen Fan Chih-Fen Hu Chun-Jung Juan Wan-Fu Hsu Shao-Wei Huang Shyi-Jou Chen Shaken baby syndrome manifesting as infantile spasms seizure type Journal of Medical Sciences Shaken baby syndrome infantile spasms electroencephalography chronic subdural hematoma acute ischemic injuries |
| title | Shaken baby syndrome manifesting as infantile spasms seizure type |
| title_full | Shaken baby syndrome manifesting as infantile spasms seizure type |
| title_fullStr | Shaken baby syndrome manifesting as infantile spasms seizure type |
| title_full_unstemmed | Shaken baby syndrome manifesting as infantile spasms seizure type |
| title_short | Shaken baby syndrome manifesting as infantile spasms seizure type |
| title_sort | shaken baby syndrome manifesting as infantile spasms seizure type |
| topic | Shaken baby syndrome infantile spasms electroencephalography chronic subdural hematoma acute ischemic injuries |
| url | http://jms.ndmctsgh.edu.tw/article.asp?issn=1011-4564;year=2014;volume=34;issue=2;spage=81;epage=83;aulast=Wang |
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