Abstract
Summary The medical management of the Shaken Infant is challenging and frustrating. Severe traumatic and hypoxic-ischemic injuries commonly occur in these patients, resulting in significant central nervous system injury. The medical management of these children depends mostly on the severity of central nervous system injury. The infant with isolated traumatic brain injury may benefit from aggressive management of increased intracranial pressure. Otherwise, the major thrust of care for these infants is supportive in nature, maintenance of normal hemodynamic and respiratory parameters, and treatment of seizures. Recognition of SBS is important so that appropriate diagnostic tests can be done and therapies initiated. Because of the devastating nature of these injuries, numerous resources are required to care for survivors. The outcome of infants with severe brain injury is dismal; therefore, prevention is required.
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