Abstract
An: 2017, Nr.4, Articol Nr. 11
Title: 

SHAKEN BABY SYNDROME IN LEGAL MEDICINE

Authors: 

      Sofia David, A. Knieling, Simona Irina Damian, Diana Bulgaru-Iliescu - Forensic Medicine Institute, Iasi, Romania; “Grigore T. Popa” University of Medicine and Pharmacy, Iasi, Romania, Department of Forensic Medicine
      Octavia Ciuhodaru - „Sf. Spiridon” Clinical Hospital of Emergency of Iasi, Resident Physician on Radiology; University of Medicine and Pharmacy „Gr. T. Popa”, of Iasi, Romania, PhD candidate
      SHAKEN BABY SYNDROME IN LEGAL MEDICINE (Abstract): The recognition of child abuse and the care of pediatric victims are recent concepts in the history of mankind. A growing awareness of the need to treat and prevent such abuse is a characteristic of modern society. The beaten child syndrome was described by Ambroise Tardieu in 1860, but shaken baby syndrome is clearly described in the medical literature only a century later by Caffey in 1972. The definition of shaken baby syndrome is based on the association of major intracranial lesions and minimal external lesions, the diagnosis remaining difficult to establish today. The authors describe a small series of 7 cases of paediatric patients addressed for medico-legal expertise and suspicion of maltreatment. The lesional mechanisms necessary to cause this syndrome are still controversial and cause frequent debates in forensic pathology. These uncertainties sometimes make judicial repression inoperative. The therapeutic management of these infants in neurosurgery is little codified, clinical and scannographic inhomogeneities making it difficult to evaluate these therapies by comparing cohorts. Yet Shaken Baby Syndrome is a major public health issue due to the severe neurological injuries it causes in developing children.
Key words: SHAKEN BABY SYNDROME, LEGAL MEDICINE, LESIONAL MECHANISM
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