A Case of Shaken Baby Syndrome Without External Signs of Trauma

ABSTRACT

PURPOSE: Shaken baby syndrome (SBS) can be developed by shaking a baby violently as a serious form of child abuse. It is found frequently among babies younger than two years old, particularly less than six months old. The syndrome is hardly diagnosed because it is found when the parents or baby-sitters tend to disguise the intention of abuse. The authors have experienced a case of shaken baby syndrome in 3 months old infant without the external signs of trauma and we herein report a case of SBS with a review of related literatures. METHODS: Three months old female infant was admitted for convulsion without fever. Magnetic resonance imaging showed subdural hemorrhage and funduscopic examination showed bilateral retinal hemorrhage. CONCLUSIONS: Ocular examination including funduscopy is important because SBS is difficult to be diagnosed. Ophthalmologist may play an important role in the diagnosis of this syndrome.