SEIZURE IN A BABY - SHAKING THE DIAGNOSIS

Abusive head trauma(AHT), formally known as "shaken baby syndrome" , is one of the most violent expressions of child abuse, and one of the leading causes of mortality due to trauma among infants. It occurs mainly in children under 1 year of age, and may result in severe consequences, such as physical and mental disabilities. Symptoms and signs of this form of abuse can be easily mistaken for common illnesses in children or accidental head injury. Therefore, the clinician can establish this diagnosis with confidence only if he/she maintains a high index of suspicion regarding the diagnosis. Legal and social issues involved in the evaluation and management of child abuse cases also contribute to the challenging task of the clinician. AHT cases are complex cases that require a multidisciplinary team approach. Preventive strategies should include early identification of cases, as well as parental education on child development, especially on the infant's crying pattern.