Shaken Baby Syndrome

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To The Editor: I read with great interest the editorial by Theodore and Rekate (Theodore N, Rekate HL: Children are different from adults. J Neurosurg 104 (1 Suppl Pediatrics):1–2, January, 2006). While the thrust of the editorial deals with varying surgical techniques for atlantoaxial fixation in children, the first paragraph raises an incidental but telling point. The third sentence reads, “Congenital anomalies and ligamentous injuries, which are predominant in children, are less common in adults, who have more degenerative and traumatic injuries.” Not only is this statement correct as it stands, but

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Bandak FA: Shaken baby syndrome: a biomechanics analysis of injury mechanisms. Forensic Sci Int 151:71792005

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Duhaime ACGennarelli TAThibault LEBruce DAMargulies SSWiser R: The shaken baby syndrome. A clinical pathological and biomechanical study J Neurosurg 66:4094151987

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Hadley MNSonntag VKRekate HLMurphy A: The infant whiplash-shake injury syndrome: a clinical and pathological study. Neurosurgery 24:5365401989

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