TY  - JOUR
TI  - Shaken baby syndrome resulting in death: a case series
AB  - 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
AU  - GÖRMEZ, MÜMİNE
AU  - Celbiş, Osman
AU  - ORUÇ, MUCAHIT
AU  - GÖRMEZ, Mümine
AU  - Dündar, Ahmet Sedat
AU  - Samdanci, Emine
DO  - 10.24953/turkjped.2021.01.004
PY  - 2021
JO  - Turkish Journal of Pediatrics
VL  - 63
IS  - 1
SN  - 0041-4301
SP  - 31
EP  - 36
DB  - TRDizin
UR  - http://search/yayin/detay/506771
ER  -