The Turkish Journal of Pediatrics 2020 , Vol 62 , Num 5
Abusive head trauma: two cases and mini-review of the current literature
Sıtkı Tıplamaz 1 ,Abdülvehhap Beygirci 2 ,Murat Nihat Arslan 3 ,Mehmet Akif İnanıcı 4
1 The Council of Forensic Medicine, Gümüşhane Directorate Branch of Forensic Medicine, Gümüşhane, Turkey
2 Department of Pediatric, University of Health Science Kanuni Sultan Suleyman Research and Training Hospital, İstanbul, Turkey
3 Morgue Department, The Council of Forensic Medicine, İstanbul, Turkey
4 Department of Forensic Medicine, Marmara University Faculty of Medicine, İstanbul, Turkey
DOI : 10.24953/turkjped.2020.05.023 Background. Abusive head trauma (AHT) is the leading cause of fatal head injuries and are responsible for more than half of serious or fatal traumatic brain injury cases in children younger than 2 years of age. Long-term outcomes of AHT are death, spastic hemiplegia or quadriplegia, intractable epilepsy, microcephaly with corticosubcortical atrophy, visual impairment, language disorder and cognitive, behavioral and sleep disorders.

Cases. Herein we present two cases of AHT (7-month-old boy, 7-month-old girl) according to forensic analysis, and discuss them in light of the current literature and share our experience. Inconsistency between the presenting history and the clinical findings were typical in both cases; follow-up histories and detailed workup revealed the diagnosis of AHT. The first case was deceased; the second case was discharged with neurological deficits.

Conclusion. A multidisciplinary approach is critical for the prevention, diagnosis and treatment of AHT. Keywords : shaken baby syndrome, retinal hemorrhage, subdural hemorrhage, forensic

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