Radiologists play a key role in the early diagnosis and imaging of suspected inflicted injury
Value of CT and MRI in Non-Accidental Head Injury in a 5-month-old boy.a Axial CT shows hypodense pericerebral collection associated with posterior interhemispheric hyperdensity in keeping with an “age-different” pattern. Loss of contrast between gray and white matter suggests oedema. b–dMRI at day 5. Diffusion-weighted sequence (b) shows signal abnormalities of the basal ganglia (pallidum) and occipital lobes indicating acute hypoxic-ischaemic injury. Gradient-echo T2-weighted sequences (c, d) show pericerebral and posterior interhemispheric subdural haematomas and venous thrombosis over the vertex (d)
Shaken baby syndrome. Follow-up with CT. The coronal CT reconstruction (a) shows diffuse right subdural haematoma. Six weeks after the acute episode the follow-up axial CT (b) shows enlargement of the subarachnoid spaces
