Symptom 7: The Unseen Marks – Skull Fractures
Skull fractures in infants with shaken baby syndrome (SBS) represent a grave reality that hides beneath the surface. The sheer force exerted in an episode of violent shaking can lead to these fractures, leaving an indelible mark on the tender bones that encase a baby’s developing brain. The horrifying fact is that these injuries can go unnoticed, as they do not always manifest visible symptoms, making early detection difficult.
Discovering a skull fracture requires diligent medical examination. The seemingly peaceful demeanor of a baby or the absence of visible injuries can often conceal the existence of a skull fracture. When it comes to SBS, appearances can be deceiving. The violence that leads to skull fractures is often not directly observable, making them one of the hidden hallmarks of this devastating condition.
Despite the lack of external symptoms, skull fractures hint at an ominous possibility. The magnitude of the force required to fracture an infant’s skull indicates severe trauma. This degree of violence likely inflicts additional damage to the brain, leading to other neurological complications associated with SBS. In this sense, a skull fracture can be seen as a silent alarm, signifying the possible presence of further harm.
While the fractures themselves may not be apparent, some changes can indicate their presence. Parents or caregivers may observe an unusual change in the shape or feel of the baby’s skull, which may feel uneven or display swelling. Sometimes, there may be a lump or a tender spot on the head. These physical changes, however subtle, require immediate medical attention.
The presence of a skull fracture in an infant should be seen as a red flag that mandates further investigation. Considering the potential repercussions, healthcare professionals must perform comprehensive evaluations to identify other symptoms of SBS if a skull fracture is detected. Therefore, while the fracture itself is a daunting discovery, it can serve as a critical starting point for diagnosing SBS. (7)
