Abstract

A thoracolumbar subdural hematoma (SDH) resulting from nonaccidental trauma in a 4-month-old infant is reported from Women and Children’s Hospital, University of Buffalo, NY.

Highlights

  • A thoracolumbar subdural hematoma (SDH) resulting from nonaccidental trauma in a 4-month-old infant is reported from Women and Children's Hospital, University of Buffalo, NY

  • Spinal cord injury is an uncommon complication of shaken baby syndrome, and may be overlooked when associated with head trauma

  • It is important to perform imaging of the spine, in addition to head and neck in infants with shaken baby syndrome

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Summary

Introduction

A thoracolumbar subdural hematoma (SDH) resulting from nonaccidental trauma in a 4-month-old infant is reported from Women and Children's Hospital, University of Buffalo, NY. An algorithm for the evaluation and treatment of traumatic extracranial carotid artery dissection is proposed, based on a review of the literature. Arterial dissection is identified as the fourth most common cause of arterial ischemic stroke in children, after sickle cell disease, cardiac embolism, and moyamoya disease.

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