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The legal challenges to the diagnosis of shaken baby syndrome or how to counter 12 common fake news
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...
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| Published in: | Child's nervous system 2022-01, Vol.38 (1), p.133-145 |
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| container_title | Child's nervous system |
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| creator | Vinchon, Matthieu Noulé, Nathalie Karnoub, Melodie-Anne |
| description | 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 methods
In 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. |
| doi_str_mv | 10.1007/s00381-021-05357-8 |
| format | article |
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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 methods
In 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.</description><identifier>ISSN: 0256-7040</identifier><identifier>EISSN: 1433-0350</identifier><identifier>DOI: 10.1007/s00381-021-05357-8</identifier><identifier>PMID: 34564748</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Child ; Child Abuse - diagnosis ; Diagnosis, Differential ; Disinformation ; Hematoma, Subdural - etiology ; Humans ; Infant ; Life Sciences ; Medicine ; Medicine & Public Health ; Neurosciences ; Neurosurgery ; Original Article ; Shaken Baby Syndrome - diagnosis</subject><ispartof>Child's nervous system, 2022-01, Vol.38 (1), p.133-145</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2021</rights><rights>2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c381t-2027848876d6614e21ad1dd5cd7fc382771f1d2258c98e752176cec900a462dd3</citedby><cites>FETCH-LOGICAL-c381t-2027848876d6614e21ad1dd5cd7fc382771f1d2258c98e752176cec900a462dd3</cites><orcidid>0000-0002-9122-6165</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34564748$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.univ-lille.fr/hal-04419608$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Vinchon, Matthieu</creatorcontrib><creatorcontrib>Noulé, Nathalie</creatorcontrib><creatorcontrib>Karnoub, Melodie-Anne</creatorcontrib><title>The legal challenges to the diagnosis of shaken baby syndrome or how to counter 12 common fake news</title><title>Child's nervous system</title><addtitle>Childs Nerv Syst</addtitle><addtitle>Childs Nerv Syst</addtitle><description>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 methods
In 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.</description><subject>Child</subject><subject>Child Abuse - diagnosis</subject><subject>Diagnosis, Differential</subject><subject>Disinformation</subject><subject>Hematoma, Subdural - etiology</subject><subject>Humans</subject><subject>Infant</subject><subject>Life Sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neurosciences</subject><subject>Neurosurgery</subject><subject>Original Article</subject><subject>Shaken Baby Syndrome - diagnosis</subject><issn>0256-7040</issn><issn>1433-0350</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp9kU9P3DAQxa2qqGyBL9BD5WN7CIz_O0eEoFRaiQucLa_t7IYmNrWTrvbb420oxx5GHo1_86R5D6EvBC4JgLoqAEyTBmgtwYRq9Ae0IpyxBpiAj2gFVMhGAYdT9LmUZwAiNG0_oVPGheSK6xVyj7uAh7C1A3Y7OwwhbkPBU8JTnfvebmMqfcGpw2Vnf4WIN3ZzwOUQfU5jwCnjXdofeZfmOIWMCa3tOKaIu8rjGPblHJ10dijh4u09Q093t48398364cfPm-t14-oZU0OBKs21VtJLSXigxHrivXBedZWgSpGOeEqFdq0OSlCipAuuBbBcUu_ZGfq-6NZDzEvuR5sPJtne3F-vzXEGnJNWgv5DKvttYV9y-j2HMpmxLy4Mg40hzcVQoWRLZEtZRemCupxKyaF71yZgjkGYJQhTgzB_gzC6Ln190583Y_DvK_-crwBbgFK_qunZPKc5x-rP_2RfAaBFkWw</recordid><startdate>20220101</startdate><enddate>20220101</enddate><creator>Vinchon, Matthieu</creator><creator>Noulé, Nathalie</creator><creator>Karnoub, Melodie-Anne</creator><general>Springer Berlin Heidelberg</general><general>Springer Verlag</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>1XC</scope><orcidid>https://orcid.org/0000-0002-9122-6165</orcidid></search><sort><creationdate>20220101</creationdate><title>The legal challenges to the diagnosis of shaken baby syndrome or how to counter 12 common fake news</title><author>Vinchon, Matthieu ; Noulé, Nathalie ; Karnoub, Melodie-Anne</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c381t-2027848876d6614e21ad1dd5cd7fc382771f1d2258c98e752176cec900a462dd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Child</topic><topic>Child Abuse - diagnosis</topic><topic>Diagnosis, Differential</topic><topic>Disinformation</topic><topic>Hematoma, Subdural - etiology</topic><topic>Humans</topic><topic>Infant</topic><topic>Life Sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neurosciences</topic><topic>Neurosurgery</topic><topic>Original Article</topic><topic>Shaken Baby Syndrome - diagnosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vinchon, Matthieu</creatorcontrib><creatorcontrib>Noulé, Nathalie</creatorcontrib><creatorcontrib>Karnoub, Melodie-Anne</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><jtitle>Child's nervous system</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vinchon, Matthieu</au><au>Noulé, Nathalie</au><au>Karnoub, Melodie-Anne</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The legal challenges to the diagnosis of shaken baby syndrome or how to counter 12 common fake news</atitle><jtitle>Child's nervous system</jtitle><stitle>Childs Nerv Syst</stitle><addtitle>Childs Nerv Syst</addtitle><date>2022-01-01</date><risdate>2022</risdate><volume>38</volume><issue>1</issue><spage>133</spage><epage>145</epage><pages>133-145</pages><issn>0256-7040</issn><eissn>1433-0350</eissn><abstract>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 methods
In 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.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>34564748</pmid><doi>10.1007/s00381-021-05357-8</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0002-9122-6165</orcidid></addata></record> |
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| language | eng |
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| subjects | Child Child Abuse - diagnosis Diagnosis, Differential Disinformation Hematoma, Subdural - etiology Humans Infant Life Sciences Medicine Medicine & Public Health Neurosciences Neurosurgery Original Article Shaken Baby Syndrome - diagnosis |
| title | The legal challenges to the diagnosis of shaken baby syndrome or how to counter 12 common fake news |
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