Which tests are recommended to rule out shaken baby syndrome?

In cases where shaken baby syndrome is suspected, a comprehensive approach is necessary to identify various forms of injury that are commonly associated with this condition. The recommended tests to rule out shaken baby syndrome include an ophthalmologic exam, CT scan, and MRI.

An ophthalmologic exam is crucial as it can reveal retinal hemorrhages, which are a classic finding in cases of abuse and specifically in shaken baby syndrome. The presence of these hemorrhages is highly indicative of violence.

CT scans and MRI are imaging modalities used to assess for acute and chronic intracranial injuries, such as subdural hematomas and parenchymal injuries. These imaging techniques provide detailed views of the brain and help establish any traumatic changes that may point towards abusive head trauma.

By using a combination of these tests, clinicians are better equipped to detect injury patterns characteristic of shaken baby syndrome, as opposed to non-accidental trauma or accidental injuries, which may appear differently on imaging studies. This diagnostic approach is vital for ensuring the safety and well-being of the child.