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Review
. 2022 Dec;38(12):2387-2393.
doi: 10.1007/s00381-022-05692-4. Epub 2022 Oct 4.

Abusive head trauma in Japan

Kazuaki Shimoji  1 , Eiichi Suehiro  2 , Akira Matsuno  2 , Takashi Araki  3
Affiliations
Review

Abusive head trauma in Japan

Kazuaki Shimoji et al. Childs Nerv Syst. 2022 Dec.

Abstract

Purpose: Abusive head trauma (AHT) is a serious cause of morbidity and mortality in the pediatric population, especially in young infants. This review of the literature aimed to understand the characteristics of AHT in Japan.

Methods: PubMed and the Japanese database Ichuushi were searched to understand the differences in AHT between Japan and other countries.

Results: Shaking was identified as an uncommon cause of injury, while mothers were the most common perpetrator of pediatric AHT in Japan. Although uncommon in other countries, infantile subdural hematoma caused by an accidental slight head injury was reported in Japan.

Conclusion: As in other countries, AHT is a major condition which pediatric neurosurgeons face in Japan. The mechanisms of injury and perpetrators of AHT seemed to differ slightly between western countries and Japan. Additionally, non-accidental infantile acute subdural hematoma was reported mainly in Japan. Therefore, further care and fair judgment is necessary when investigating child abuse in Japan.

Keywords: Abuse in Japan; Abusive head trauma; Accidental infantile acute subdural hematoma; Comparison.

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References

    1. From the website of the World Health Organization “Child Maltreatment”. https://www.who.int/news-room/fact-sheets/detail/child-maltreatment
    1. From the website of the Japan Ministry of Health, Labor and Welfare. “Cases of child abuse cases which were treated at the Child Guidance Center 2020”. (Japanese) https://www.mhlw.go.jp/content/000863297.pdf
    1. From the website of the Japan Ministry of Health, Labor and Welfare. “Definition and current status of child abuse”. (Japanese) https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/kodomo/kodomo_kosodate/...
    1. Keenan HT, Runyan DK, Marshall SW, Nocera MA, Merten DF, Sinal SH (2003) A population-based study of inflicted traumatic brain injury in young children. JAMA 6(290):621–626 - DOI
    1. Narang S, Clarke J (2014) Abusive head trauma: past, present, and future. J Child Neurol 29:1747–1756 - DOI

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