Clinical and Forensic Investigation Protocols for Diagnosing Abusive Head Trauma: A Literature Review

被引:0
|
作者
Sacco, Matteo Antonio [1 ]
Gualtieri, Saverio [1 ]
Tarda, Lucia [1 ]
Ricci, Pietrantonio [1 ]
Aquila, Isabella [1 ]
机构
[1] Magna Graecia Univ Catanzaro, Inst Legal Med, Dept Med & Surg Sci, I-88100 Catanzaro, Italy
关键词
child abuse; abusive head trauma; forensic investigations; SHAKEN BABY SYNDROME; RETINAL HEMORRHAGES; CHILDREN; INFANTS; INJURIES; RISK;
D O I
10.3390/diagnostics13193093
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Abusive head trauma (AHT) represents a very serious global public health problem. Prevention of these episodes is essential to reduce the morbidity and mortality of this phenomenon. All healthcare professionals should be able to recognize the signs of abuse. However, diagnosis is very complex as the signs are often blurred and cannot be recognized with certainty without carrying out adequate instrumental investigations. It has been calculated that approximately one-third of AHT cases remain undetected and require more than one medical visit to be correctly interpreted and diagnosed. On the other hand, the literature has recently also emphasized the problems related to possible false diagnoses of abuse and the numerous family and personal repercussions that follow from this issue. For these reasons, correct and timely recognition is essential to avoid the risk of recurrence of AHT and to start proper forensic investigations, in order to identify the offender or exonerate a suspect. The present work explores the most recent evidence of recent years in the field of AHT diagnostics through a literature review. The purpose of this article is to provide forensic pathologists with clear tools for diagnosis based on the literature. To this end, the review suggests clinical and forensic protocols aimed at the timely diagnosis of AHT in order to prevent abuse from remaining undetected.
引用
收藏
页数:13
相关论文
共 50 条
  • [41] Skull fractures in abusive head trauma: a single centre experience and review of the literature
    Jai Sidpra
    Noor ul Owase Jeelani
    Juling Ong
    Wendy Birch
    Kshitij Mankad
    Child's Nervous System, 2021, 37 : 919 - 929
  • [42] High Frequency of Previous Abuse and Missed Diagnoses Prior to Abusive Head Trauma: A Consecutive Case Series of 100 Forensic Examinations
    Laurent-Vannier, Anne
    Bernard, Jonathan Y.
    Chevignard, Mathilde
    CHILD ABUSE REVIEW, 2020, 29 (03) : 231 - 241
  • [43] Neurosurgical aspects of abusive head trauma management in children: a review for the training neurosurgeon
    Fitzpatrick, S.
    Leach, P.
    BRITISH JOURNAL OF NEUROSURGERY, 2019, 33 (01) : 47 - 50
  • [44] New Insights into the Diagnosis and Age Determination of Retinal Hemorrhages from Abusive Head Trauma: A Systematic Review
    Di Fazio, Nicola
    Delogu, Giuseppe
    Morena, Donato
    Cipolloni, Luigi
    Scopetti, Matteo
    Mazzilli, Sara
    Frati, Paola
    Fineschi, Vittorio
    DIAGNOSTICS, 2023, 13 (10)
  • [45] Forensic Psychology Consultation in Shaken Baby Syndrome/Abusive Head Trauma: A Response to Commentary
    Johnson, Matthew B.
    Baker, Christine
    Prempeh, Barbara
    Lewis, Shereen R.
    JOURNAL OF FORENSIC PSYCHOLOGY RESEARCH AND PRACTICE, 2022, 22 (01) : 87 - 90
  • [46] Spinal cord injury as an indicator of abuse in forensic assessment of abusive head trauma (AHT)
    Colombari, Michela
    Troakes, Claire
    Turrina, Stefania
    Tagliaro, Franco
    De Leo, Domenico
    Al-Sarraj, Safa
    INTERNATIONAL JOURNAL OF LEGAL MEDICINE, 2021, 135 (04) : 1481 - 1498
  • [47] Spinal cord injury as an indicator of abuse in forensic assessment of abusive head trauma (AHT)
    Michela Colombari
    Claire Troakes
    Stefania Turrina
    Franco Tagliaro
    Domenico De Leo
    Safa Al-Sarraj
    International Journal of Legal Medicine, 2021, 135 : 1481 - 1498
  • [48] Advanced Cervical Spine Imaging in Abusive Head Trauma: An Update on Recent Literature and Future Directions
    Henry, M. Katherine
    Wood, Joanne N.
    ACADEMIC PEDIATRICS, 2018, 18 (07) : 733 - 735
  • [49] Abusive head trauma, protocols, and legal concerns in a South American Country
    Ramiro José del Rio
    Guido Patricio Gromadzyn
    Santiago Cicutti
    Maria Eguenia Badaloni
    Javier Danilo Gonzalez Ramos
    Child's Nervous System, 2022, 38 : 2409 - 2414
  • [50] Pediatric abusive head trauma in Taiwan: clinical characteristics and risk factors associated with mortality
    Wu, An-Lun
    See, Lai-Chu
    Hsia, Shao-Hsuan
    Tu, Hui-Tzu
    Wang, Nan-Kai
    Huang, Jing-Long
    Hwang, Yih-Shiou
    Lai, Chi-Chun
    Wu, Wei-Chi
    GRAEFES ARCHIVE FOR CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY, 2018, 256 (05) : 997 - 1003