
Minor brain bleeding found in 26% of newborns in study
Tucson, Arizona | Published: 01.31.2007
Minor brain hemorrhages occur in about one in four otherwise healthy
newborns — a finding that surprised researchers and could help
physicians avoid wrongly accusing parents and caregivers of child abuse.
The researchers, whose findings appear in the February issue of the
journal Radiology, note that bleeding in an infant's brain is commonly
associated with "shaken baby syndrome," an injury that occurs when an
infant is shaken violently. Intracranial bleeding, which can cause
serious brain damage or even death, is one of the hallmark
characteristics of a shaken baby.
That's why physicians at the University of North Carolina-Chapel Hill
were taken aback at results of a radiology study looking into early
brain development.
Scan after scan of infants turned up brain bleeding — 26 percent
scanned with magnetic resonance imaging showed evidence of such
bleeding. Previous studies have found brain bleeding at significantly
lower rates.
Dr. J. Keith Smith, a UNC radiologist, said physicians are trained to
suspect child abuse when they see intracranial bleeding. But as the
bleeds showed up in more and more babies scanned, and those children
showed no classic signs of brain injury, Smith and his colleagues
concluded that minor bleeding may be relatively common.
Smith, a co-author of the Radiology article, speculates that newer
imaging technology has only recently made it possible for doctors to
see it.
Researchers found the bleeding is most common in babies delivered
vaginally. They think it occurs as the infant's still-flexible skull is
compressed while passing through the birth canal.
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