Non-accidental Trauma as an Example of an Underestimated Problem in Pediatrics: Maltreated Child Syndrome and Shaken Baby Syndrome.

IF 1 Q3 MEDICINE, GENERAL & INTERNAL
Cureus Pub Date : 2025-06-25 eCollection Date: 2025-06-01 DOI:10.7759/cureus.86738
Katarzyna Kubińska, Magdalena Zgoda-Aleksandrowicz, Anita Franczak-Young, Agata Hałabuda, Stanisław Kwiatkowski
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Abstract

Injuries, including both accidental and non-accidental trauma, represent a common reason for hospitalization in the pediatric population. The impact of violence in the caregiver-child relationship is an important and often underestimated problem in pediatrics. Child abuse can present itself in various forms, including both psychological and physical manifestations. This study details the maltreated child syndrome and the shaken baby syndrome, also known as abusive head trauma. Non-accidental trauma presents with a broad spectrum of neurological symptoms, along with multiple injuries at different stages of healing and potential indicators of shaking. A two-month-old male infant presented with body spasms, subsequently accompanied by muscle flaccidity, following an accident of unclear mechanism. Imaging studies revealed bilateral subdural hematohygroma with acute hemorrhage, multiple fractures in various stages of healing, and retinal hemorrhage. Clinical, psychological, and social findings were consistent with shaken baby syndrome and maltreated child syndrome, suggesting non-accidental trauma. Beyond the current injuries, it is significant to be aware of the long-term effects of violence, particularly psychological and social aspects related to neurological damage. The role of medical staff is not only to provide medical help but also to ensure the child's safety and prevent a negative impact on their psychosocial development. Knowing how to recognize the signs of child abuse is relevant.

非意外创伤作为一个被低估的儿科问题的例子:虐待儿童综合征和摇晃婴儿综合征。
伤害,包括意外和非意外创伤,是儿童住院的常见原因。在照料者与儿童的关系中,暴力的影响是儿科中一个重要但往往被低估的问题。虐待儿童可以以各种形式出现,包括心理和身体上的表现。这项研究详细介绍了受虐待儿童综合症和摇晃婴儿综合症,也被称为虐待性头部创伤。非意外创伤表现为广泛的神经系统症状,以及处于不同愈合阶段的多处损伤和潜在的颤抖指标。一个两个月大的男婴出现身体痉挛,随后伴有肌肉松弛,在一个机制不明的事故。影像学检查显示双侧硬膜下血肿伴急性出血,多处不同愈合阶段骨折及视网膜出血。临床、心理和社会调查结果与摇晃婴儿综合征和受虐待儿童综合征一致,表明非意外创伤。除了目前的伤害之外,重要的是要认识到暴力的长期影响,特别是与神经损伤有关的心理和社会方面。医务人员的作用不仅是提供医疗帮助,而且还要确保儿童的安全和防止对他们的心理社会发展产生负面影响。知道如何识别虐待儿童的迹象是相关的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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