Medicolegal issues in abusive head trauma for the pediatric neurosurgeon

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Pediatric Abusive Head Trauma

Pediatric abusive head trauma – once commonly known as the shaken baby syndrome – is a form of child abuse that results in traumatic brain injury. The peak incidence of pediatric abusive head trauma appears to be in children between the ages of 2 to 4 months; the exact incidence of this injury is not known. Pediatric abusive head trauma often results in severe and permanent neurological damage,...

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Base deficit correlates with mortality in pediatric abusive head trauma.

BACKGROUND/PURPOSE Children suffering from abusive head trauma (AHT) have worse outcomes compared to non-AHT, but the reasons for this are unclear. We hypothesized that delayed medical care associated with AHT causes prolonged pre-hospital hypotension and hypoxia as measured by admission base deficit (BD), and that this would correlate with outcome. METHODS We performed a 10-year retrospectiv...

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Confessed abusive blunt head trauma.

It is generally accepted that terms referring to specific craniocerebral injury mechanisms must be replaced by the more general term abusive head trauma (AHT). Although blunt impact trauma remains an essential part of AHT, it has received far less attention in the literature than shaken-impact injuries. The current article presents 19 confessed cases of a series of 47 highly suspected AHT cases...

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Pearls and Pitfalls for the Pediatric Emergency Medical Provider in the Evaluation of Abusive Head Trauma

Abusive head trauma causes significant morbidity and mortality in infants and young children. The diagnosis of abusive head trauma can be difficult. Emergency medical providers frequently have initial contact with patients presentingwith abusive head injuries. It is important for emergency medical providers to consider child abuse in the differential diagnosis of head trauma and to know how to ...

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Extramedullary Hematopoiesis in Abusive Head Trauma

Extensive unilateral extramedullary hematopoiesis of the choroid was observed in an otherwise clear cut case of abusive head trauma with bilateral retinal hemorrhage, optic nerve sheath hemorrhage and peripapillary intrascleral hemorrhage. Review of 60 archival cases of suspected abusive head trauma identified two more examples of extramedullary hematopoiesis in abusive head trauma that initial...

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ژورنال

عنوان ژورنال: Neurosurgical Focus

سال: 2020

ISSN: 1092-0684

DOI: 10.3171/2020.8.focus20599