Hypoxic Ischemic Encephalopathy in Forensic Medicine
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    P: 205-209
    December 2021

    Hypoxic Ischemic Encephalopathy in Forensic Medicine

    The Bulletin of Legal Medicine 2021;26(3):205-209
    1. Adli Tıp Kurumu Başkanlığı, İstanbul, Türkiye
    2. İstanbul Üniversitesi-Cerrahpaşa, Cerrahpaşa Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, Çocuk Hematoloji ve Onkoloji Bilim Dalı, Adli Tıp Kurumu Başkanlığı, İstanbul, Türkiye
    No information available.
    No information available
    Received Date: 10.10.2020
    Accepted Date: 18.01.2021
    Publish Date: 01.12.2021
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    ABSTRACT

    Neonatal encephalopathy is a clinical picture with convulsion, respiratory depression and hypotonia “appeared” in babies born at 35 weeks and after the first month. The clinical picture detected in the cases varies. When hypoxic ischemic encephalopathy (HIE) is suspected clinically, all causes should be evaluated as well as reasons belonging to the mother, the placenta or the child. Many cases that cause medico-legal problems have been reported especially between parents who expect a healthy baby and physicians participating in the delivery process. In this article, it is aimed to develop an algorithm for physicians who medico-legally evaluate HIE, and to gain a standard approach and perspective, by drawing attention to HIE cases that are frequently encountered in forensic medicine practice and claiming medical malpractice for physicians participating in the delivery process.

    Keywords: Hypoxic ischemic encephalopathy, forensic medical approach

    References

    1
    Kliegman RM. Nelson Textbook of Pediatrics. 21th ed. Amsterdam: Elseiver; 2020.
    2
    Martinello K, Hart AR, Yap S, Mitra S, Robertson NJ. Management and investigation of neonatal encephalopathy: 2017 update. Arch Dis Child Fetal Neonatal Ed. 2017;102(4):F346-F358.
    3
    Mehmet Satar TNDHİEÇG. Türkiye’de yenidoğan yoğun bakim ünitelerinde izlenen hipoksik iskemik ensefalopatili olgular, risk faktörleri, insidans ve kisa dönem prognozlari. Cocuk Sagligi ve Hast Derg. 2008;51(3):123-129. https://www.cshd.org.tr/uploads/pdf_CSH_300.pdf
    4
    Akisu M, Kumral A, Canpolat FE. Turkish neonatal society guideline on neonatal encephalopathy. Turk Pediatr Ars. 2018;53:32-44.
    5
    Yvonne W. Clinical features, diagnosis, and treatment of neonatal encephalopathy. Available from: https://www.uptodate.com/contents/clinical-features-diagnosisand-treatment-ofneonatal-encephalopathy.
    6
    Oygür N, Önal E, Zenciroğlu A. Türk Neonatoloji Derneği Doğum SalonYönetimi Rehberi 2016. Erişim adresi: http://www.neonatology.org.tr/
    7
    Executive summary: Neonatal encephalopathy and neurologic outcome, second edition. Report of the American College of Obstetricians and Gynecologists’ Task Force on Neonatal Encephalopathy. Obstet Gynecol. 2014;123(4):896-901.
    8
    Sarnat HB, Sarnat MS. Neonatal encephalopathy following fetal distress. Obstet Gynecol Surv. 1977;32(5):295-297.
    9
    Douglas-Escobar M, Weiss MD. Hypoxic-ischemic encephalopathy a review for the clinician. JAMA Pediatr. 2015;169(4):397-403.
    10
    Chau V, Poskitt KJ, Miller SP. Advanced neuroimaging techniques for the term newborn with encephalopathy. Pediatr Neurol. 2009;40(3):181-188.
    11
    Goswami IR, Whyte H, Wintermark P, Mohammad K, Shivananda S, Louis D, et al. Characteristics and short-term outcomes of neonates with mild hypoxic-ischemic encephalopathy treated with hypothermia. J Perinatol. 2020;40(2):275-283.
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