The Importance of Family Interview for Shaken Baby Syndrome
Journal Title: Çocuk Acil ve Çocuk Yoğun Bakım Dergisi - Year 2018, Vol 5, Issue 1
Abstract
Shaken baby syndrome (SBS) is caused by vigorous shaking of an infant by the arms, legs, chest, or shoulders. It must be thought when there is a suspicious story, subdural hemorrhage, bilateral retinal hemorrhage, cranial bone and or skeletal fracture, and ecchymosis. Here, we report a patient, who presented with seizures, with a family history of similar findings in his brother. Most of the efforts were given to find an organic reason to explain the patient’s findings due to the history of similar presentation of the sibling with an impression of inherited neuro-metabolic disorders and a negative result of a previous evaluation of the patient and the family for SBS at another hospital. Striking findings of SBS including subdural hematomas of different ages, occipital bone fracture, and retinal hemorrhages directed us to re-evaluate the family for SBS. After multiple episodes of family interviews, clues leading to injury through SBS were discovered. A single family interview may not be sufficient to exclude SBS especially in the presence of clinical findings. SBS is a diagnosis that should always be kept in mind in such patients, especially those with no organic cause.
Authors and Affiliations
Emine Akkuzu, Gökhan Kalkan, Şule Demir, Figen Paslı, Aysu Duyan Çamurdan
Keywords
Related Articles
- EP ID EP379155
- DOI 10.4274/cayd.72792
- Views 123
- Downloads 0
Retrospective Analysis of Cases with Guillain-Barré Syndrome in Pediatric Intensive Care Unit
Amaç: Çalışmamızda Guillain-Barré sendromu nedeniyle çocuk yoğun bakımı ünitesinde takip edilmiş olan olguların tedavi yaklaşımları ve tedaviye yanıtlarının karşılaştırılarak tartışılması amaçlanmıştır. Yöntemler: Çocuk...
The Last Recommendations for Pediatric Advanced Life Support: Analysis of the 2015 American Heart Association Guidelines Update
The last recommendations for pediatric advanced life support which has been published in 2015 can be summarized as fluid resuscitation for septic shock, atropine for premedication during emergency intubation, invasive he...
Use of Ketamine Infusion and Azithromycin as an Adjunct Therapy in Severe Acute Bronchiolitis
.
The Effectiveness of Ultrasonography in Detecting Emergent Pediatric Pathologies and Requirement for Additional Imaging Techniques: A Retrospective Study
Introduction: In emergency cases, ultrasonography is used in guiding resuscitation, to provide procedural guidance, and confirm a clinical diagnosis. In addition, it may prevent unnecessary exposure of the patient to ion...
Retrospective Analysis of Demographic, Epidemiologic, and Clinical Characteristics of Poisoning Cases Followed in Pediatric Intensive Care Unit
Introduction: The aim of this study was to investigate demographic, epidemiologic, and clinical characteristics of cases admitted to pediatric intensive care unit (PICU) for poisoning. Methods: Cases with poisoning admit...