Abusive head trauma: Report of 3 cases

Çaylan, Nilgün; Yılmaz, Gonca; Oral, Resmiye; Karacan, Can Demir; Zorlu, Pelin

doi:10.5505/tjtes.2013.01460

Cited by 4 publications

(2 citation statements)

References 14 publications

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“…Genç yaş grubunda kazalara bağlı kafa travmaları daha ön planda iken, ileri yaş grubunda düşmeler belirgin bir etken olarak dikkati çekmektedir (14). Küçük yaş grubundaki çocuk ve bebeklerde çocuk istismarına bağlı kafa travmaları da akılda tutulmalıdır (15,16). Travmanın uyku ile ilişkisi hekim tarafından akla getirilmeli ve sorgulanmalıdır; nitekim uyurgezerlik ve benzeri parasomni tabloları genellikle selim seyirli ve ailesel özellik taşımaları nedeniyle, hasta ve yakınları tarafından belirtilmeyen durumlardır.…”

Section: Discussionunclassified

Relationship Between Sleep-related Violence and NREM Parasomnia: A Case Report

Tütüncü¹,

Şenel²,

Zeydan³

et al. 2018

jtsm

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Parasomnia constitutes an important group among the situations that can lead to sleep-related violence scene. Parasomnia attacks are characterized by complex motor behaviors of various degrees, violent behaviors may result in life-threatening and rarely lethal conditions for patients and their relatives. Here is presented a patient with right temporoparietal bone fracture, pneumocephalus and hemotympanum in right ear due to head trauma during a parasomnia attack. The diagnosis could be made by a detailed history taking and polysomnography only after many other investigations. In this context, we aimed to emphasize that not only nocturnal epilepsies, especially frontal lobe epilepsies, but also parasomnia attacks should be kept in mind in differential diagnosis of sleep-related violence.

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Section: Discussionunclassified

Relationship Between Sleep-related Violence and NREM Parasomnia: A Case Report

Tütüncü¹,

Şenel²,

Zeydan³

et al. 2018

jtsm

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“…This collaboration and the implementation of multiple teams across the country improved the response to sexual abuse significantly over the first decade. However, AHT has remained only occasionally recognized, with a handful of cases reported in the literature in Turkey (8)(9)(10)(11)(12).…”

Section: Introductionmentioning

confidence: 99%

Abusive Head Trauma in Turkey and Impact of Multidisciplinary Team Establishment Efforts on Case Finding and Management: Preliminary Findings

Yaylacı¹,

Dallar²,

Sayar³

et al. 2016

EAJEM

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Aim: Abusive head trauma (AHT) is the most common cause of death as the result of child abuse. A task force is planned to provide training on AHT to professionals in different disciplines on clinical presentation, diagnostic workup, and organization of multidisciplinary evaluation at the hospital and community levels. This study reports on the preliminary findings of the pre-intervention phase of a larger study. Materials and Methods:This is a descriptive, retrospective study exploring the rates of documentation of relevant data in charts, including risk factors for abuse, family demographics, completeness of diagnostic workup, and case finding.Results: Overall, 345 cases were found in hospital databases that were eligible for the retrospective study from 10 participating hospitals. In total, 305 cases (88.4%) were younger than 2 years of age. The most common documented risk factors were low parental education level in 82 families (23.8%), more than three children under 7 years of age in 76 families (22.0%), and bad child temper in 16 families (4.6%), among others. The rate of complete diagnostic workup in hospitals with a multidisciplinary team (MDT) (25.7%) was statistically significantly higher than in hospitals without an MDT (2.9%) (p=0.001). Etiology was identified as inflicted in 78 cases (22.6%), possibly inflicted in 24 (7.0%), undetermined in 79 (22.9%), and accidental in 164 (47.5%) by the researchers, compared to only three cases (0.8%) diagnosed as inflicted by the treating physicians (p<0.0001). In two of the three cases, the perpetrator was convicted; in one, the prosecutor closed the case without a trial on the basis of "no confession" despite the death of the child and medical evidence. Conclusion:Clinicians' knowledge of the diagnosis of AHT should be increased to improve case finding, which will allow determination of more accurate incidence/prevalence. This can be accomplished via the establishment of an MDT in teaching hospitals as well as staff training on how to recognize suspicious cases, how to utilize MDT services, and how to report and manage cases on a community level multidisciplinary basis. (Eurasian J Emerg Med 2016; 15: 24-9)

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Two Infant Boys Misdiagnosed as “Shaken Baby” and Their Twin Sisters: A Cautionary Tale

Wester

2019

Pediatric Neurology

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Abusive head trauma: Report of 3 cases

Cited by 4 publications

References 14 publications

Relationship Between Sleep-related Violence and NREM Parasomnia: A Case Report

Relationship Between Sleep-related Violence and NREM Parasomnia: A Case Report

Abusive Head Trauma in Turkey and Impact of Multidisciplinary Team Establishment Efforts on Case Finding and Management: Preliminary Findings

Two Infant Boys Misdiagnosed as “Shaken Baby” and Their Twin Sisters: A Cautionary Tale

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