Citation

Geddes JF, Tasker RC, Adams GG, Whitwell HL. Pediatr. Rehabil. 2004; 7(4): 261-265.

Affiliation

j.f.geddes@doctors.org.uk

Copyright

(Copyright © 2004, Informa - Taylor and Francis Group)

DOI

10.1080/13638490412331280435

PMID

15513769

Abstract

In this article we reply to the recent critique by Punt et al. in Pediatric Rehabilitation. Our hypothesis about the pathogenesis of intracranial bleeding in infants has three important implications. First, in the case of an infant with a swollen brain, subdural and retinal haemorrhage but no objective evidence of trauma, the findings by themselves are not certain evidence of abuse; second, violence is not necessary to produce subdural and retinal haemorrhage; and lastly, non-traumatic events producing apnoea with a catastrophic rise in intracranial pressure could produce a clinical picture identical to that seen in trauma.

Language: en