The evidence base for shaken baby syndrome: response to editorial from 106 doctors.
نویسنده
چکیده
This is in conflict with the research of Alexander et al, Ewing-Cobbs et al, Kemp et al, and Jenny et al, who found that 30%-40% of newly diagnosed shaken baby cases had medical evidence of previously undiagnosed head injury.2-5 These infants had such mild or non-specific symptoms and signs that their trauma was previously not diagnosed. The diagnosis was ultimately made when the children had subsequent severe episodes of abuse, with computer tomographic evidence of both acute and older subdural haematomata and brain injuries. Retinal Haemorrhages
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to the editor: The discussion in Images in Clinical Medicine by Hylton and Goldberg (July 8 issue)1 implies that the circumpapillary retinal ridge is pathognomonic for the shaken-baby syndrome. This belief was widely held among ophthalmologists, pediatricians, and forensic pathologists until it was recently challenged.2,3 Two studies used a process associated with evidence-based medicine to eva...
متن کاملThe evidence base for shaken baby syndrome.
The phrase “shaken baby syndrome” evokes a powerful image of abuse, in which a carer shakes a child sufficiently hard to produce whiplash forces that result in subdural and retinal bleeding. The theory of shaken baby syndrome rests on core assumptions: shaking is always intentional and violent; the injury an infant receives from shaking is invariably severe; and subdural and retinal bleeding is...
متن کاملInformation Pack for Parents and Caregivers Falsely Accused of Shaken Baby Syndrome or Munchausen Syndrome by Proxy
Background: The shaken baby syndrome conceived by Guthkeltch to explain bruises, fractures, retinal and cerebral haemorrhage and encephalopathy in children, called the “triad,” can be explained by an autoimmune reaction to antigens in a genetically susceptible child. Method: Children diagnosed as suffering from non-accidental injuries were investigated for evidence of immune response reactions ...
متن کاملPaediatric Forensic Medicine and Pathology
Individual chapters explore the emerging role of imaging in the diagnosis of non-accidental injury and compare recent evidence contrasting sudden infant death and SIDS; the head and neck injury chapter carefully explores the 'shaken baby syndrome' and similar patterns of injury that have recently gained widespread media attention. Special emphasis is given to interview and assessment procedures...
متن کاملPaediatric Forensic Medicine and Pathology
Individual chapters explore the emerging role of imaging in the diagnosis of non-accidental injury and compare recent evidence contrasting sudden infant death and SIDS; the head and neck injury chapter carefully explores the 'shaken baby syndrome' and similar patterns of injury that have recently gained widespread media attention. Special emphasis is given to interview and assessment procedures...
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ورودعنوان ژورنال:
- BMJ
دوره 328 7451 شماره
صفحات -
تاریخ انتشار 2004