Association hémorragies cérébrales et rétiniennes chez 2 enfants : ne pas conclure trop vite au diagnostic d’enfant secoué

Botte, A.; Mars, Andreas; Wibaut, B.; Foort-Dhellemmes, Sabine de; Vinchon, Matthieu; Leclerc, F.

doi:10.1016/j.arcped.2011.10.006

Cited by 9 publications

(1 citation statement)

References 29 publications

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“…[53] Retinal kanamalar, travmatik veya spontan subretinal kanamalar da izlenebilir. [55][56][57] Spontan optik disk kanaması olan bir hasta da bildirilmiştir. [57] Hemofili hastalarında intraoküler ameliyatların komplikasyonsuz yapılabilmesi için preoperatif hazırlık gereklidir.…”

Section: Von Willebrand Hastalığıunclassified

Bleeding-Coagulation System Disorders and Retina (Disseminated Intravascular Coagulopathy, Von Willebrand Disease, Vitamin K Deficiency, Hemophilia A and Hemophilia B)

2023

Güncel Retina (Current Retina)

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Coagulation system disorders result from the imbalance between procoagulant and anticoagulant activity and are classified as congenital and acquired coagulation disorders. There are dozens of diseases under these headings, and these diseases can cause serious complications in the anterior and posterior segment structures of the eye and orbit. Among these complications, there may be situations such as subconjunctival hemorrhage, which can be resolved by spontaneous resorption, or it can be seen in cases such as retinal-choroidal hemorrhage and ischemia that may result in severe vision loss. In ophthalmology practice, evaluating and treating ocular complications of a patient with a suspected bleeding disorder is very important in terms of visual prognosis. Especially in the treatment of vitreoretinal hemorrhages, vitreoretinal surgery is seen as an important and effective treatment protocol. To prevent possible complications that may occur during surgery, precautions should be taken to reduce the risk of hemorrhage with a multidisciplinary approach. This review will discuss the approach to orbital complications and retinal pathologies in coagulation system disorders.

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Section: Von Willebrand Hastalığıunclassified

Bleeding-Coagulation System Disorders and Retina (Disseminated Intravascular Coagulopathy, Von Willebrand Disease, Vitamin K Deficiency, Hemophilia A and Hemophilia B)

2023

Güncel Retina (Current Retina)

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The legal challenges to the diagnosis of shaken baby syndrome or how to counter 12 common fake news

2021

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Background The shaken baby syndrome (SBS) is a common cause of severe traumatic lesions in infants. Although well established for almost five decades, SBS and its diagnosis are becoming more and more aggressively challenged in courts. These challenges feed on the scientific debate and controversies regarding the pathophysiology and the differential diagnoses, scientific uncertainty being readily exploited by specialized barristers. Material and methodsIn the present review, we analyze the most common challenges to the concept of SBS and its diagnosis, as well as the scientific evidence available to counter these challenges, the differential diagnoses, and how SBS can be diagnosed with confidence. Results We found that the pathophysiology of SBS is well documented, with stereotyped descriptions by perpetrators, in good correlation with experimental studies and computer models. SBS is a well-defined clinico-pathological entity with a characteristic constellation of lesions; with a rigorous evaluation protocol, its diagnosis can be made rapidly and with excellent accuracy beyond a reasonable doubt. Conclusion It is important that medical experts master an extensive knowledge regarding the pathophysiology of the lesions of SBS, in particular infantile subdural hematomas, as well as other CSF-related conditions. This emphasizes the role that pediatric neurosurgeons should play in the clinical and medicolegal management of these patients.

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The Swedish Agency for health technology-report about traumatic shaking: much ado about nothing?

Rac

2018

Forensic Sci Med Pathol

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The 2016 Swedish Agency for Health Technology Assessment and Assessment of Social Services (SBU) systematic review deals with the role of the 'triad' (subdural hematoma, retinal hemorrhages, and various forms of brain symptoms) in the medical investigation of suspected traumatic shaking. In this commentary we will not discuss the methodological shortcomings of the SBU-review but will concentrate on the effects of the review on the daily practice of protecting children and families in court procedures. In our opinion the report did not add anything to what was already known in clinical and forensic medicine. The SBU-review confirmed that shaking can cause the 'triad' and that there are other explanations for the 'triad' and its components. The report however did not provide a realistic list of these other explanations. The review reduced the discussion about inflicted head injury in young children to a discussion about the 'triad' and traumatic shaking, ignoring the fact that 'diagnosing' inflicted head injury concerns a complete clinical and forensic evaluation of all individual and combined findings, of which for example the presence of bruising or fractures, were excluded by the SBU-panel.

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Association hémorragies cérébrales et rétiniennes chez 2 enfants : ne pas conclure trop vite au diagnostic d’enfant secoué

Cited by 9 publications

References 29 publications

Bleeding-Coagulation System Disorders and Retina (Disseminated Intravascular Coagulopathy, Von Willebrand Disease, Vitamin K Deficiency, Hemophilia A and Hemophilia B)

Bleeding-Coagulation System Disorders and Retina (Disseminated Intravascular Coagulopathy, Von Willebrand Disease, Vitamin K Deficiency, Hemophilia A and Hemophilia B)

The legal challenges to the diagnosis of shaken baby syndrome or how to counter 12 common fake news

The Swedish Agency for health technology-report about traumatic shaking: much ado about nothing?

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