İstismara Bağlı Kafa Travmasının Adli Patoloji Yönünden Değerlendirilmesinde Güncel Yaklaşımlar
DOI:
https://doi.org/10.17986/blm.1698Anahtar Kelimeler:
çocuk istismarı- kafa travması- retinal hemoraji- adli patolojiÖz
İstismara bağlı kafa travması, çocuğun şiddetli sarsılması ve/veya künt travmaya maruz kalması sonucu kafatası ve beyin dokusu hasarına yol açan ciddi bir çocuk istismarı tipidir. Sıklıkla 2 yaş altı olmak üzere 5 yaş altı çocuklarda görülür. Klasik üçlü bulgusu; subdural hematom, retina kanaması ve ensefalopatinin eş zamanlılığıdır. Ölümle sonuçlanan olgularda ölüm nedeninin ve lezyonların yaşının belirlenmesinde otopsideki histopatolojik ve immünohistokimyasal incelemeler çok önemlidir. Bu incelemeler makroskobik tanının doğrulanmasını sağlar. Ayrıca makroskobik olarak saptanamayan bulguları ve travmanın yaşını da belirler. Çocuk istismarı şüphesi olan olgularda özellikle santral sinir sistemi incelmelerine yönelik bir protokol belirlenmesi ve bu standart yaklaşıma uygun örnekleme yapılması adaletin doğru işlemesi adına önemli katkılar sağlayacaktır.
İndirmeler
Kaynaklar
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