Shaken baby syndrome resulting in death: a case series

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dc.authoridDündar, Ahmet Sedat/0000-0002-4029-2613
dc.authoridTurkmen, Samdanci, Emine/0000-0002-0034-5186
dc.authorwosidCelbiş, Osman/ABE-2803-2021
dc.authorwosidDündar, Ahmet Sedat/GXW-1515-2022
dc.authorwosidTurkmen, Samdanci, Emine/ABH-4716-2020
dc.contributor.authorOruc, Mucahit
dc.contributor.authorDundar, Ahmet Sedat
dc.contributor.authorOkumus, Hasan
dc.contributor.authorGormez, Mumine
dc.contributor.authorSamdanci, Emine Turkmen
dc.contributor.authorCelbis, Osman
dc.date.accessioned2024-08-04T20:10:04Z
dc.date.available2024-08-04T20:10:04Z
dc.date.issued2021
dc.departmentİnönü Üniversitesien_US
dc.description.abstractDepartment 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.en_US
dc.identifier.doi10.24953/turkjped.2021.01.004
dc.identifier.endpage36en_US
dc.identifier.issn0041-4301
dc.identifier.issue1en_US
dc.identifier.pmid33686824en_US
dc.identifier.scopus2-s2.0-85102705425en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage31en_US
dc.identifier.trdizinid506771en_US
dc.identifier.urihttps://doi.org/10.24953/turkjped.2021.01.004
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/506771
dc.identifier.urihttps://hdl.handle.net/11616/92588
dc.identifier.volume63en_US
dc.identifier.wosWOS:000625637300004en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTurkish J Pediatricsen_US
dc.relation.ispartofTurkish Journal of Pediatricsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectshaken baby syndromeen_US
dc.subjectautopsyen_US
dc.subjectdeathen_US
dc.titleShaken baby syndrome resulting in death: a case seriesen_US
dc.typeArticleen_US

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