Yıl: 2021 Cilt: 63 Sayı: 1 Sayfa Aralığı: 31 - 36 Metin Dili: İngilizce DOI: 10.24953/turkjped.2021.01.004 İndeks Tarihi: 20-05-2022

Shaken baby syndrome resulting in death: a case series

Öz:
Background. The aim of this study was to raise the awareness of all healthcare personnel, primarily EmergencyDepartment 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 likelihoodof missed diagnosis.Methods. A retrospective examination was made of 3400 forensic cases applied with autopsy between 2012 and2018 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 weredetermined 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 theinfants and 75% were taken to the Emergency Department with cardiopulmonary arrest. Subdural hematomaand subarachnoid hemorrhage were determined in 37.5% of the cases, subdural hematoma, subarachnoidhemorrhage and intracranial hemorrhage in 50%, and epidural hemorrhage and subarachnoid hemorrhage in12.5%. In the microscopic examination of the medulla spinalis, focal subdural fresh bleeding was seen in 50% ofcases. 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 muchhigher than has been determined. The most important reason for this is thought to be that the diagnosis of childabuse is difficult and physicians do not have a sufficient level of knowledge
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  • 1. Case ME. Abusive head injuries in infants and young children. Leg Med (Tokyo) 2007; 9: 83-87.
  • 2. American Academy of Pediatrics: Committee on Child Abuse and Neglect. Shaken baby syndrome: rotational cranial injuries-technical report. Pediatrics 2001; 108: 206-210.
  • 3. Chiesa A, Duhaime AC. Abusive head trauma. Pediatr Clin North Am 2009; 56: 317-331.
  • 4. Polat O. Fiziksel İstismar. (Polat Ed).) Tüm Boyutları ile Çocuk İstismarı (1. Cilt). Ankara: Seçkin Yayınları, 2007: 59-93.
  • 5. Raghupathi R, Margulies SS. Traumatic axonal injury after closed head injury in the neonatal pig. J Neurotrauma 2002; 19: 843-853.
  • 6. Minns RA, Jones PA, Mok JY. Incidence and demography of non-accidental head injury in southeast Scotland from a national database. Am J Prev Med 2008; 34(Suppl 4): 126-133.
  • 7. Pollanen MS, Simth CR, Chiasson DA, Cairns JT, Young J. Fatal child abuse-maltreatment syndrome. A retrospective study in Ontario, Canada, 1990-1995. Forensic Sci Int 2002; 126: 101-104.
  • 8. Gleckman AM, Evans RJ, Bell MD, Smith TW. Optic nerve damage in shaken baby syndrome: detection by beta-amyloid precursor protein immunohistochemistry. Arch Pathol Lab Med 2000; 124: 251-256.
  • 9. Wygnanski-Jaffe T, Levin AV, Shafiq A, et al. Postmortem orbital findings in shaken baby syndrome. Am J Ophthalmol 2006; 142: 233-240.
  • 10. Kelly P, Farrant B. Shaken baby syndrome in New Zealand, 2000-2002. J Paediatr Child Health 2008; 44: 99-107.
  • 11. Yagmur F, Asil H, Per H, Aslan D, Coskun A. Sarsılmış bebek sendromu & 3 olgu sunumu. Adli Tıp Dergisi 2010; 24: 42-49.
  • 12. King WJ, MacKay M, Sirnick A; Canadian Shaken Baby Study Group. Shaken baby syndrome in Canada: clinical charecteristics and outcomes of hospital cases. CMAJ 2003; 168: 155-159.
  • 13. Jenny C, Hymel KP, Ritzen A, Reinert SE, Hay TC. Analysis of missed cases of abusive head trauma. JAMA 1999; 281: 621-626.
  • 14. Tzioumi D, Oates RK. Subdural hematomas in children under 2 years. Accidental or inflicted? A 10-years experience. Child Abuse Negl 1998; 22: 1105-1112.
  • 15. Arlotti SA, Forbes BJ, Dias MS, Bonsall DJ. Unilateral retinal hemorrhages in shaken baby syndrome. J AAPOS 2007; 11: 175-178.
  • 16. Brion D, Shelton D. Perparator accounts in infant abusive head trauma brought about by a shaking event. Child Abuse Negl 2009; 29: 1347-1358.
  • 17. Becker JC, Liersch R, Tautz C, Schlueter B, Andler W. Shaken baby syndrome: report on four pairs of twins. Child Abuse Negl 1998; 22: 931-937.
  • 18. Billmire ME, Myers PA. Serious head injury in infants: accident or abuse? Pediatrics 1985; 75: 340- 342.
  • 19. Kirschner RH, Wilson H. Pathology of fatal abuse. In: Reece RM, Ludwing S (eds). (2nd ed). Child Abuse Medical Diagnosis & Management. Philadelphia: Lippincott Williams&Wilkins, 2001: 503-505.
  • 20. Caffey J. On the theory and practice of shaking infants. Its potential residual effects of permanent brain damage and mental retardation. Am J Dis Child 1972; 124: 161-169
APA ORUÇ M, Dündar A, GÖRMEZ M, GÖRMEZ M, Samdanci E, Celbiş O (2021). Shaken baby syndrome resulting in death: a case series. , 31 - 36. 10.24953/turkjped.2021.01.004
Chicago ORUÇ MUCAHIT,Dündar Ahmet Sedat,GÖRMEZ MÜMİNE,GÖRMEZ Mümine,Samdanci Emine,Celbiş Osman Shaken baby syndrome resulting in death: a case series. (2021): 31 - 36. 10.24953/turkjped.2021.01.004
MLA ORUÇ MUCAHIT,Dündar Ahmet Sedat,GÖRMEZ MÜMİNE,GÖRMEZ Mümine,Samdanci Emine,Celbiş Osman Shaken baby syndrome resulting in death: a case series. , 2021, ss.31 - 36. 10.24953/turkjped.2021.01.004
AMA ORUÇ M,Dündar A,GÖRMEZ M,GÖRMEZ M,Samdanci E,Celbiş O Shaken baby syndrome resulting in death: a case series. . 2021; 31 - 36. 10.24953/turkjped.2021.01.004
Vancouver ORUÇ M,Dündar A,GÖRMEZ M,GÖRMEZ M,Samdanci E,Celbiş O Shaken baby syndrome resulting in death: a case series. . 2021; 31 - 36. 10.24953/turkjped.2021.01.004
IEEE ORUÇ M,Dündar A,GÖRMEZ M,GÖRMEZ M,Samdanci E,Celbiş O "Shaken baby syndrome resulting in death: a case series." , ss.31 - 36, 2021. 10.24953/turkjped.2021.01.004
ISNAD ORUÇ, MUCAHIT vd. "Shaken baby syndrome resulting in death: a case series". (2021), 31-36. https://doi.org/10.24953/turkjped.2021.01.004
APA ORUÇ M, Dündar A, GÖRMEZ M, GÖRMEZ M, Samdanci E, Celbiş O (2021). Shaken baby syndrome resulting in death: a case series. Turkish Journal of Pediatrics, 63(1), 31 - 36. 10.24953/turkjped.2021.01.004
Chicago ORUÇ MUCAHIT,Dündar Ahmet Sedat,GÖRMEZ MÜMİNE,GÖRMEZ Mümine,Samdanci Emine,Celbiş Osman Shaken baby syndrome resulting in death: a case series. Turkish Journal of Pediatrics 63, no.1 (2021): 31 - 36. 10.24953/turkjped.2021.01.004
MLA ORUÇ MUCAHIT,Dündar Ahmet Sedat,GÖRMEZ MÜMİNE,GÖRMEZ Mümine,Samdanci Emine,Celbiş Osman Shaken baby syndrome resulting in death: a case series. Turkish Journal of Pediatrics, vol.63, no.1, 2021, ss.31 - 36. 10.24953/turkjped.2021.01.004
AMA ORUÇ M,Dündar A,GÖRMEZ M,GÖRMEZ M,Samdanci E,Celbiş O Shaken baby syndrome resulting in death: a case series. Turkish Journal of Pediatrics. 2021; 63(1): 31 - 36. 10.24953/turkjped.2021.01.004
Vancouver ORUÇ M,Dündar A,GÖRMEZ M,GÖRMEZ M,Samdanci E,Celbiş O Shaken baby syndrome resulting in death: a case series. Turkish Journal of Pediatrics. 2021; 63(1): 31 - 36. 10.24953/turkjped.2021.01.004
IEEE ORUÇ M,Dündar A,GÖRMEZ M,GÖRMEZ M,Samdanci E,Celbiş O "Shaken baby syndrome resulting in death: a case series." Turkish Journal of Pediatrics, 63, ss.31 - 36, 2021. 10.24953/turkjped.2021.01.004
ISNAD ORUÇ, MUCAHIT vd. "Shaken baby syndrome resulting in death: a case series". Turkish Journal of Pediatrics 63/1 (2021), 31-36. https://doi.org/10.24953/turkjped.2021.01.004