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November 21, 2009
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Shaken Baby Syndrome (SBS)

Medical Author: David Perlstein, MD, FAAP
Medical Editor: William C. Shiel Jr., MD, FACP, FACR

What is shaken baby syndrome?

Shaken baby syndrome is the term that is used to describe a form of child abuse caused by vigorously shaking an infant, often in anger, to get a child to stop crying or whining. It usually occurs in children less than 1 year of age, and the violent shaking often results in severe and permanent brain injury, spinal-cord injuries, bleeding in the eyes (retinal hemorrhages), and even death.

How common is shaken baby syndrome?

There are no accurate statistics, but experts estimate the incidence to be between 1,000 to 1,500 infants per year. According to the Centers for Disease Control and Prevention, of the almost 2,000 children who die from abuse or neglect each year, shaken baby syndrome accounts for 10%-12% of them. Most commonly, the victim of shaken baby syndrome is between 3 and 8 months old; however, it has been reported in newborns and in children up to 4 years of age. In addition, 25% of all children diagnosed with shaken baby syndrome die from their injuries.



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Shaken Baby Syndrome

What is a subconjunctival hemorrhage?

The conjunctiva is a clear tissue that covers the white of the eye (the sclera) and lines the inside of both eyelids. A subconjunctival hemorrhage is blood that is located between the conjunctiva and the underlying sclera.

What causes a subconjunctival hemorrhage?

The conjunctiva contains nerves and many small blood vessels. These blood vessels are usually barely visible but become larger and more visible if the eye is inflamed. These blood vessels are somewhat fragile and their walls may break easily, resulting in a subconjunctival hemorrhage (bleeding under the conjunctiva). A subconjunctival hemorrhage appears as a bright red or dark red patch on the sclera. Most subconjunctival hemorrhages are spontaneous without an obvious cause for the bleeding from normal conjunctival blood vessels. Since most subconjunctival hemorrhages are painless, a person may discover a subconjunctival ...

Read the Subconjunctival Hemorrhage article »









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