Hypoxic Ischemic Encephalopathy in Forensic Medicine

Authors

DOI:

https://doi.org/10.17986/blm.1491

Keywords:

Hypoxic Ischemic Encephalopathy, Forensic Medical Approach

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 except for reasons belonging to the mother, the placenta or the child. Many cases that cause medico-legal problems have been reported between the parents and the parents who are in a healthy baby's care and the physicians attending their birth. After determining that a significant part of the forensic medical files is the HIE that obstetrics and neonatal physicians are accused together or individually, we aimed to draw attention to this issue and to reveal the reasons for the malfunctions and errors, if any. Meanwhile, we aimed to develop an algorithm that physicians who evaluate HIE in forensic medicine can use while examining the file and provide the same language and perspective.

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References

Kliegman RM. Nelson Textbook of Pediatrics. 21th ed. 2020.

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):F346–58. http://dx.doi.org/10.1136/archdischild-2015-309639 DOI: https://doi.org/10.1136/archdischild-2015-309639

Mehmet Satar TNDHİEÇG. Türkiye’de yenidoǧan yoǧun bakim ünitelerinde izlenen hipoksik iskemik ensefalopatili olgular, risk faktörleri, insidans ve kisa dönem prognozlari. Cocuk Sagligi ve Hast Derg. 2008;51(3):123–9.

Akisu M, Kumral A, Canpolat FE. Turkish neonatal society guideline on neonatal encephalopathy. Turk Pediatr Ars. 2018;53:32–44. http://dx.doi.org/10.5152/TurkPediatriArs.2018.01805 DOI: https://doi.org/10.5152/TurkPediatriArs.2018.01805

https://www.uptodate.com/contents/clinical-features-diagnosisand-treatment-ofneonatal-encephalopathy.

Oygür N, Önal E, Zenciroğlu A. Türk Neonatoloji̇ Derneği̇ Doğum SalonYöneti̇mi̇ Rehberi̇ 2016. http://www.neonatology.org.tr/

The American College of Obstetricians and Gynaecologists. Executive summary: Neonatal Encephalopathy and Neurologic Outcome, Second Edition. Obstet Gynecol. 2014;123(4):896–901. https://doi.org/10.1542/peds.2014-0724 DOI: https://doi.org/10.1097/01.AOG.0000445580.65983.d2

Sarnat HB, Sarnat MS. Neonatal encephalopathy following fetal distress. Obstet Gynecol Surv. 1977;32(5):295–7. http://dx.doi.org/10.1001/archneur.1976.00500100030012 DOI: https://doi.org/10.1097/00006254-197705000-00011

Douglas-Escobar M, Weiss MD. Hypoxic-Ischemic Encephalopathy A Review for the Clinician. JAMA Pediatr. 2015;169(4):397–403. http://dx.doi.org/10.1001/jamapediatrics.2014.3269 DOI: https://doi.org/10.1001/jamapediatrics.2014.3269

Chau V, Poskitt KJ, Miller SP. Advanced Neuroimaging Techniques for the Term Newborn With Encephalopathy. Pediatr Neurol [Internet]. 2009;40(3):181–8. Available at: http://dx.doi.org/10.1016/j.pediatrneurol.2008.09.012 DOI: https://doi.org/10.1016/j.pediatrneurol.2008.09.012

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):275–83. http://dx.doi.org/10.1038/s41372-019-0551-2 DOI: https://doi.org/10.1038/s41372-019-0551-2

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Published

2021-12-01

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Section

Review

How to Cite

1.
Yıldız Silahlı N, Celkan T. Hypoxic Ischemic Encephalopathy in Forensic Medicine. Bull Leg Med. 2021;26(3):205-209. https://doi.org/10.17986/blm.1491