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African Journal of Paediatric Surgery: AJPS logoLink to African Journal of Paediatric Surgery: AJPS
letter
. 2015 Jul-Sep;12(3):208–209. doi: 10.4103/0189-6725.170233

Childhood non-accidental traumatic brain injuries

Pathoom Sukkaromdee 1,, Viroj Wiwanitkit 1
PMCID: PMC4955434  PMID: 26612131

Sir,

The recent report on childhood non-accidental traumatic (NAT) brain injuries is very interesting.[1] Ibrahim et al. noted that ‘child abuse, unprotected child labour, and parental/care-givers negligence are the main cause of NAT brain injury.[1] In fact, the described problem can be seen in any poor developing countries. How to detect early of the problem seems to be the critical points. Naik-Mathuria et al. mentioned that ‘all patients with suspected NAT are admitted to the paediatric surgery service for complete evaluation and management.[2] Greeley said that ‘the evidence-based for abusive head trauma encompasses diverse disciplines, including diagnostic imaging, pathology, paediatrics, biomechanics, ophthalmology, epidemiology, and orthopaedics.[3] However, the concern of the first practitioner who face up the case seems to be the most important starting point. How to make the problem to be well-recognized internationally is the topic for further discussion.[4]

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

REFERENCES

  • 1.Ibrahim M, Mu’azu AL, Idris N, Rabiu MU, Jibir BW, Getso KI, et al. Menace of childhood non-accidental traumatic brain injuries: A single unit report. Afr J Paediatr Surg. 2015;12:23–8. doi: 10.4103/0189-6725.150943. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 2.Naik-Mathuria B, Akinkuotu A, Wesson D. Role of the surgeon in non-accidental trauma. Pediatr Surg Int. 2015;31:605–10. doi: 10.1007/s00383-015-3688-x. [DOI] [PubMed] [Google Scholar]
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  • 4.Frasier LD, Kelly P, Al-Eissa M, Otterman GJ. International issues in abusive head trauma. Pediatr Radiol. 2014;(44 Suppl 4):S647–53. doi: 10.1007/s00247-014-3075-0. [DOI] [PubMed] [Google Scholar]

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