A child is brought to the casualty with repos of violent shaking by parents. Most likely injury is?
Violent shaking (Shaken Baby Syndrome) is a form of physical child abuse in which the perpetrator holds the child from the thorax and submits him/her to violent acceleration-deceleration forces typically resulting in Non Accidental Head Injury (NAHI) although a number of other injuries may also be noted. Subdural Hemorrhages are the most characteristic findings and are believed to result from shearing of internal vessels by sudden accelerative-decelerative forces during violent shaking. Ref: Traumatic Brain Injury By David X. Cifu, Deborah Caruso, Page 148; The essentials of forensic medicine and toxicology,By K.S Narayan reddy,29th Edition Page 397-99; Manual of Forensic Emergency Medicine by Riviello (2009), Page 139
Long bone fracture
Ruptured spleen
Subdural hematoma
Skull bone fracture