Neurological Manifestations of Medical Child Abuse
| Autor: | Farah W. Brink, Anup D. Patel, Jonathan D. Thackeray, Corey J. Rood, Katharine Doughty |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Child abuse
medicine.medical_specialty Poison control Suicide prevention Occupational safety and health 03 medical and health sciences 0302 clinical medicine Developmental Neuroscience 030225 pediatrics Injury prevention Humans Medicine Child Abuse Child Psychiatry Prescription Drug Misuse business.industry Human factors and ergonomics Neurology Pediatrics Perinatology and Child Health Neurotoxicity Syndromes Neurology (clinical) Differential diagnosis business 030217 neurology & neurosurgery Medical literature |
| Zdroj: | Pediatric Neurology. 54:22-28 |
| ISSN: | 0887-8994 |
| DOI: | 10.1016/j.pediatrneurol.2015.09.010 |
| Popis: | Background Medical child abuse occurs when a child receives unnecessary and harmful, or potentially harmful, medical care at the instigation of a caretaker through exaggeration, falsification, or induction of symptoms of illness in a child. Neurological manifestations are common with this type of maltreatment. Objectives We sought to review common reported neurological manifestations that may alert the clinician to consider medical child abuse. In addition, the possible sequelae of this form of child maltreatment is discussed, as well as practice recommendations for establishing the diagnosis and stopping the abuse once it is identified. Methods A review of the medical literature was conducted regarding the reported neurological presentations of this entity. Results Neurological manifestations of medical child abuse include false reports of apparent life-threatening events and seizures and reports of induction of symptoms from poisoning. Failure to correlate objective findings with subjective complaints may lead to unnecessary and potentially harmful testing or treatment. This form of child maltreatment puts a child at significant risk of long-term morbidity and mortality. Conclusions A wide variety of neurological manifestations have been reported in cases of medical child abuse. It is important for the practicing neurologist to include medical child abuse on the differential diagnosis. |
| Databáze: | OpenAIRE |
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