He concludes that subdural hematomas and retinal hemorrhages come from rotational decelerational injuries, both accidental and nonaccidental, and that current radiological findings alone cannot tell you the nature or mechanism of injury.
vitreous hemorrhage, retinal detachment, optic nerve avulsion).
Child abuse is a significant problem in the United States with approximately four children dying of abuse every day, most of whom are younger than 4 years.
Additionally, 1300 children are presumed to die each year following abusive head trauma.
Rapid identification of non-accidental head trauma helps child-protection workers and the police protect children and apprehend and prosecute abusers.
For many years, the presence of retinal hemorrhages in an infant with a neurologic injury was thought to be diagnostic for shaken baby syndrome (SBS), and frequently these hemorrhages were the only physical finding suggestive of abuse.