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Edited by Robert A. Minns and J. Keith Brown, 526 pages, $170, ISBN 1898683352, London, England, MacKeith Press, 2006.

Kenneth Feldman, MD, Reviewer

Arch Pediatr Adolesc Med. 2007;161(1):108-109.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Drs Minns and Brown provide a broad review of inflicted head injuries (IHIs) from medical, epidemiological, legal, and social viewpoints. The most extensively treated topics, clinical (neurological) manifestations and biomechanics of infant and toddler head injury, consume the first third of the text. The text expands on the 2005 article by Dr Minns¹ on the same topic. In both, he postulates 4 different clinical presentations for IHI. Six percent of IHIs are attributed to a "hyperacute encephalopathic or cervico-medullary syndrome," in which acute cervicomedullary injury results in immediate apnea, leading to death or severe hypoxic-ischemic injury. Here the pathologic studies of Geddes et al² are referenced. They observed children with IHI to have microscopic or gross evidence of injury at the cervicomedullary junction but little evidence of traumatic axonal injury. These observations were very helpful in redirecting our thinking to the role of such injuries and . . . [Full Text of this Article]

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