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Shaken baby syndrome resulting in death: a case series
- Source :
- The Turkish Journal of Pediatrics. 63:31
- Publication Year :
- 2021
- Publisher :
- The Turkish Journal of Pediatrics, 2021.
-
Abstract
- BACKGROUND The aim of this study was to raise the awareness of all healthcare personnel, primarily Emergency Department physicians, forensic physicians, and paediatricians about cases of shaken baby syndrome (SBS), which can be difficult to diagnose, require a high level of suspicion in diagnosis and there is a high likelihood of missed diagnosis. METHODS A retrospective examination was made of 3400 forensic cases applied with autopsy between 2012 and 2018 to the Forensic Medicine Institution of Malatya Group Directorate. RESULTS Of the total cases, 113 were aged < 2 years and head trauma was determined in 35. Eight cases were determined as SBS. Of the 8 cases that resulted in death, 75% were male and the mean age was 8.3 months. The trauma had been perpetrated by the father in 50% of cases. There was a history of seizure in 67.5% of the infants and 75% were taken to the Emergency Department with cardiopulmonary arrest. Subdural hematoma and subarachnoid hemorrhage were determined in 37.5% of the cases, subdural hematoma, subarachnoid hemorrhage and intracranial hemorrhage in 50%, and epidural hemorrhage and subarachnoid hemorrhage in 12.5%. In the microscopic examination of the medulla spinalis, focal subdural fresh bleeding was seen in 50% of cases. Bleeding around the optic nerves was determined in 37.5% of cases bilaterally and in 37.5% unilaterally. Retinal hemorrhage was determined in all the cases, which was bilateral in 75%. CONCLUSIONS The actual worldwide incidence of SBS is not known, and in Turkey, it is thought to be much higher than has been determined. The most important reason for this is thought to be that the diagnosis of child abuse is difficult and physicians do not have a sufficient level of knowledge.
- Subjects :
- Male
Child abuse
Pediatrics
medicine.medical_specialty
Subarachnoid hemorrhage
business.industry
Incidence (epidemiology)
Infant
Retinal Hemorrhage
Autopsy
Emergency department
Shaken Baby Syndrome
medicine.disease
Head trauma
Hematoma, Subdural
Hematoma
Pediatrics, Perinatology and Child Health
medicine
Humans
Child Abuse
Child
business
Epidural Hemorrhage
Retrospective Studies
Subjects
Details
- ISSN :
- 00414301
- Volume :
- 63
- Database :
- OpenAIRE
- Journal :
- The Turkish Journal of Pediatrics
- Accession number :
- edsair.doi.dedup.....22a422fcbb82b3162499f7afcf16818b