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To the Editor. —
Dr Block’s criticism1 of the work by Geddes is disturbing. The response by Pediatrics Editor Lucey2 is equally disturbing, because Pediatrics typically gives a balanced perspective of controversial issues. Geddes, a neuropathologist with many years’ experience examining infant brains, observed that she was not finding traumatic brain injury in infants thought to be victims of inflicted trauma/shaken-baby syndrome. She was not alone in her observations, as the co-authors of her articles attest.3,4 She found anoxic axonal damage rather than traumatic brain injury, except for a small number of cases in which there were significant impact injuries such as skull fractures. A number of the infants in her study also had evidence for axonal injury in the …
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