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Thursday, December 04, 2008 - ore 16:18
shaken baby syndrome, la sindrome del bebè sguarattato..
(categoria: " Vita Quotidiana ")
Shaken baby syndrome (SBS) is a form of child abuse that occurs when an abuser violently shakes an infant or small child, creating a whiplash-type motion that causes acceleration-deceleration injuries. The injury is estimated to affect between 1,200 and 1,600 children every year in the USA. It is common for there to be no external evidence of trauma. Injuries from impacts with hard objects may accompany SBS; this combination of shaking with striking against a hard object is sometimes termed the shaken impact syndrome or shaken/slam syndrome.
The concept of SBS was initially described in the early 1970s, based on a theory and a wide variety of circumstances by Dr. John Caffey, a radiologist, as well as Dr. Norman Guthkelch, a neurosurgeon.
SBS, a major cause of death in infants, is often fatal and can cause severe brain damage, resulting in lifelong disability. Estimated death rates (mortality) among infants with SBS range from 15 to 38%; the median is 20–25%. Up to half of deaths related to child abuse are reportedly due to shaken baby syndrome. Nonfatal consequences of SBS include varying degrees of visual impairment (including blindness), motor impairment (e.g. cerebral palsy) and cognitive impairments.
Signs and symptoms:
SBS is accompanied by a variety of signs, which range from mild to severe and nonspecific to obviously head trauma-related. The characteristic injuries associated with SBS include retinal hemorrhages, multiple fractures of the long bones, and subdural hematomas (bleeding in the brain). These signs have evolved through the years as the accepted and recognized signs of child abuse and the shaken baby syndrome. Medical professionals strongly suspect shaking as the cause of injuries when a baby or small child presents with retinal hemorrhage, fractures, soft tissue injuries or subdural hematoma, that cannot be explained by accidental trauma or other medical conditions. Additional effects of SBS are diffuse axonal injury, oxygen deprivation and swelling of the brain, which can raise intracranial pressure and damage delicate brain tissue.
Victims of SBS may display irritability, failure to thrive, alterations in eating patterns, lethargy, vomiting, seizures, bulging or tense fontanels, increased size of the head, altered respirations, and dilated pupils.
Fractures of the vertebrae and ribs may also be associated with SBS.
vi scrive una vittima di neonatale sguarattamento..si spiegano molte cose eh?..
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: LaFletcher