Shaken Baby Syndrome: Intending to Harm or Attempting to Help?
| Autor: | E. Kritikou, T. Felekis, Dimitrios Peschos, M. Aspiotis, Ioannis Asproudis, A. Siamopoulou, Spiridon Gorezis |
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| Rok vydání: | 2008 |
| Předmět: |
Pediatrics
medicine.medical_specialty media_common.quotation_subject Retinal Hemorrhage/*diagnosis Poison control Physical examination Lethargy Hematoma Injury prevention Humans Medicine Shaken Baby Syndrome/*diagnosis Girl media_common medicine.diagnostic_test business.industry Head injury Infant Retinal Hemorrhage General Medicine Shaken Baby Syndrome Hematoma Subdural/*radiography medicine.disease Ophthalmology Hematoma Subdural Harm Female Tomography X-Ray Computed business |
| Zdroj: | Scopus-Elsevier |
| ISSN: | 1724-6016 1120-6721 |
| Popis: | PurposeTo describe the role of ophthalmologists in shaken baby syndrome evaluation.MethodsCase report.ResultsA 3.5-month-old girl was admitted to the Pediatrics Clinic with lethargy. The mother, who brought in the baby, claimed that the baby had fallen from her cradle 6 hours ago. Clinical examination showed signs of head injury. Ophthalmologic examination was requested and revealed extensive retinal hemorrhages bilaterally covering the whole fundus, and retro-hyaloid hematoma in the right eye. Computerized tomography neuroimaging documented large subdural hematomas exerting force on the brain parenchyma. The sum of the results of the clinical and neuroimaging examination-retinal hemorrhages and subdural hematomas-was indicative of violent shaking of the baby. Coronal evaluation was unable to determine whether the baby was abused by her parents or whether she was accidentally hurt.ConclusionsOphthalmologic examination is necessary to document shaken baby syndrome since it reveals the retinal hemorrhages which together with the neuroimaging findings are almost always present in such cases. However, even when all the signs of shaken baby syndrome are present, it is difficult and sometimes destructive for a parent to be falsely accused of abusing his or her own child. |
| Databáze: | OpenAIRE |
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