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A Case With Shaken Baby Syndrome Detected At The Examination Of Retinopathy Of Prematurity

Year 2017, Volume: 14 Issue: 4, 195 - 197, 01.10.2017

Abstract

“Shaken baby syndrome” occurs due to shaking of babies under two years of age. It can lead to visual impairment, blindness, severe neurological deficit and death. Bilateral retinal hemorrhages are important characteristic finding of shaken baby syndrome but not pathognomonic. Because of the irreversible neurological damage related to shaken baby syndrome, primary prevention is so important. The aim of this case report is to call attention on shaken baby syndrome and to emphasize the importance of training of parents and medical staff in this area.

References

  • Şahin F, Taşar MA. Sarsılmış bebek sendromu ve önleme programları. Türk Ped Arş 2012; 47:152-8.
  • Christian CW, Block R, Committee on Child Abuse and Neglect, American Academy of Pediatrics. Abusive head trauma in infants and children. Pe- diatrics 2009; 123(5):1409-11.
  • Balcı E, Gün İ, Mutlu Şarlı Ş, Akpınar F, Yağmur F, Öztürk A, ve ark. Still an unknown topic: child abuse and “shaken baby syndrome”. Ulus Travma Acil Cerrahi Derg 2011;17(5):430-4.
  • Matschke J, Püschel K, Glatzel M. Ocular pathology in shaken baby syndrome and other forms of infantile non-accidental head injury. Int J Legal Med 2009; 123:18997.
  • Togioka BM, Arnold MA, Bathurst MA, et al. Retinal hemorrhages and shaken baby syndrome: an evidence-based review. J Emerg Med 2009; 37(1):98-106.
  • Breazzano MP, Unkrich KH, Barker-Griffith AE. Clinicopathological findin- gs in abusive head trauma: analysis of 110 ınfant autopsy eyes. Am J Ophthalmol 2014; 158:1146–54.
  • Önal Ç. Çocuk istismarı. Türkiye Klinikleri J Pediatr Sci 2007; 3:27-9.
  • Morad Y, Kim YM, Armstrong DC, Huyer D, Mian M, Levin AV. Correlation between retinal abnormalities and intracranial abnormalities in the sha- ken baby syndrome. Am J Ophthalmol 2002; 134(3):354-9.
  • American Academy of Pediatrics; Section on Radiology. Diagnostic ima- ging of child abuse. Pediatrics 2000; 105(6):1345-8.
  • Bayir H, Kochanek PM, Kagan VE. Oxidative stress in immature brain after traumatic brain injury. Dev Neurosci 2006; 28(4-5):420-31.
  • Potts MB, Koh SE, Whetstone WD, Walker BA, Yoneyama T, Claus CP, et al. Traumatic injury to the immature brain: inflammation, oxidative in- jury, and iron-mediated damage as potential therapeutic targets. NeuroRx 2006; 3(2):143-53.
  • Bhardwaj G, Chowdhury V, Jacobs MB, Moran KT, Martin FJ, Coroneo MT. A systematic review of the diagnostic accuracy of ocular signs in pediatric abusive head trauma. Ophthalmology 2010; 117(5):983-92.
  • Forbes B. Abusive head trauma in infants and young children: Anatomy and pathogenesis of retinal hemorrhages. Erişim tarihi: Nisan 2014. Eri- şim: Available from: http://www.uptodate.com/contents.

Prematüre Retinopatisi Muayenesi Esnasında Saptanan Sarsılmış Bebek Sendromu Olgusu

Year 2017, Volume: 14 Issue: 4, 195 - 197, 01.10.2017

Abstract

“Sarsılmış bebek sendromu”; iki yaş altındaki bebeklerin hızla sarsılması nedeni ile gelişen, kalıcı görme bozuklukları, körlük, ağır nörolojik hasar ve ölümle sonuçlanabilen bir durumdur. Bilateral retinal kanama, ciddi sarsılmış bebek sendromu olgularında görülen önemli bir bulgudur ancak patognomonik değildir. Sarsılmış bebek sendromuna bağlı nörolojik hasarın geri dönüşümsüz olması nedeni ile birincil korumanın sağlanması çok önemlidir. Ebeveynlerin ve toplumun bu konuda bilinçlendirilmesi en önemli birincil koruma basamağıdır. Bu olgu, sarsılmış bebek sendromuna dikkat çekmek, ebeveynlerin ve sağlık personelinin bu konudaki eğitimlerinin önemini vurgulamak amacı ile sunulmuştur.

References

  • Şahin F, Taşar MA. Sarsılmış bebek sendromu ve önleme programları. Türk Ped Arş 2012; 47:152-8.
  • Christian CW, Block R, Committee on Child Abuse and Neglect, American Academy of Pediatrics. Abusive head trauma in infants and children. Pe- diatrics 2009; 123(5):1409-11.
  • Balcı E, Gün İ, Mutlu Şarlı Ş, Akpınar F, Yağmur F, Öztürk A, ve ark. Still an unknown topic: child abuse and “shaken baby syndrome”. Ulus Travma Acil Cerrahi Derg 2011;17(5):430-4.
  • Matschke J, Püschel K, Glatzel M. Ocular pathology in shaken baby syndrome and other forms of infantile non-accidental head injury. Int J Legal Med 2009; 123:18997.
  • Togioka BM, Arnold MA, Bathurst MA, et al. Retinal hemorrhages and shaken baby syndrome: an evidence-based review. J Emerg Med 2009; 37(1):98-106.
  • Breazzano MP, Unkrich KH, Barker-Griffith AE. Clinicopathological findin- gs in abusive head trauma: analysis of 110 ınfant autopsy eyes. Am J Ophthalmol 2014; 158:1146–54.
  • Önal Ç. Çocuk istismarı. Türkiye Klinikleri J Pediatr Sci 2007; 3:27-9.
  • Morad Y, Kim YM, Armstrong DC, Huyer D, Mian M, Levin AV. Correlation between retinal abnormalities and intracranial abnormalities in the sha- ken baby syndrome. Am J Ophthalmol 2002; 134(3):354-9.
  • American Academy of Pediatrics; Section on Radiology. Diagnostic ima- ging of child abuse. Pediatrics 2000; 105(6):1345-8.
  • Bayir H, Kochanek PM, Kagan VE. Oxidative stress in immature brain after traumatic brain injury. Dev Neurosci 2006; 28(4-5):420-31.
  • Potts MB, Koh SE, Whetstone WD, Walker BA, Yoneyama T, Claus CP, et al. Traumatic injury to the immature brain: inflammation, oxidative in- jury, and iron-mediated damage as potential therapeutic targets. NeuroRx 2006; 3(2):143-53.
  • Bhardwaj G, Chowdhury V, Jacobs MB, Moran KT, Martin FJ, Coroneo MT. A systematic review of the diagnostic accuracy of ocular signs in pediatric abusive head trauma. Ophthalmology 2010; 117(5):983-92.
  • Forbes B. Abusive head trauma in infants and young children: Anatomy and pathogenesis of retinal hemorrhages. Erişim tarihi: Nisan 2014. Eri- şim: Available from: http://www.uptodate.com/contents.
There are 13 citations in total.

Details

Primary Language Turkish
Journal Section Case Report
Authors

Zühal Özen Tunay This is me

- Özdemir This is me

Damla Ergintürk Acar This is me

Şerife Suna Oğuz

Publication Date October 1, 2017
Published in Issue Year 2017 Volume: 14 Issue: 4

Cite

Vancouver Tunay ZÖ, Özdemir -, Acar DE, Oğuz ŞS. Prematüre Retinopatisi Muayenesi Esnasında Saptanan Sarsılmış Bebek Sendromu Olgusu. JGON. 2017;14(4):195-7.