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Autopsy and Histological Findings

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Child Abuse
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Abstract

Any unexpected death of a child should be properly investigated to determine whether the death was natural or violent (accident or homicide). This chapter provides information on infanticide, on sudden unexpected infant death and shaking, and on infant and small child homicide by means others than shaking.

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References

  1. Vellut N, Cook JM, Tursz A. Analysis of the relationship between neonaticide and denial of pregnancy using data from judicial files. Child Abuse Negl. 2012;36:553–63.

    Article  PubMed  Google Scholar 

  2. Emery JL, Mithal A. The number of alveoli in the terminal respiratory unit of man during late intrauterine life and childhood. Arch Dis Child. 1960;35:544–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Cooney TP, Thurlbeck WM. The radial alveolar count method of Emery and Mithal: a reappraisal 2—intrauterine and early postnatal lung growth. Thorax. 1982;37:580–3.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Janssen W. Forensic histopathology. Heidelberg: Springer-Verlag; 1984. 402p.

    Book  Google Scholar 

  5. Haute Autorité de Santé. Recommandations professionnelles. Prise en charge en cas de mort inattendue du nourrisson (moins de deux ans). February 2007. http://www.has-sante.fr/portail/upload/docs/application/pdf/recommandations_mort_inattendue_nourrisson.pdf.

  6. Prtak L, Al-Adnani M, Fenton P, et al. Contribution of bacteriology and virology in sudden unexpected death in infancy. Arch Dis Child. 2010;95:371–6.

    Article  CAS  PubMed  Google Scholar 

  7. Rambaud C, Guilleminault C. Death, nasomaxillary complex, and sleep in young children. Eur J Pediatr. 2012;171:1349–58.

    Article  PubMed  Google Scholar 

  8. Boudewyns A, Claes J, Van de Heyning P. Clinical practice: an approach to stridor in infants and children. Eur J Pediatr. 2010;169:135–41.

    Article  PubMed  Google Scholar 

  9. Dettmeyer R, Baasner A, Haag C, et al. Immunohistochemical and molecular-pathological diagnosis of myocarditis in cases of suspected sudden infant death syndrome (SIDS)—a multicenter study. Leg Med (Tokyo). 2009;11(S1):S124–7.

    Article  Google Scholar 

  10. American Academy of Pediatrics. Shaken baby syndrome: rotational cranial injuries. Technical report. Pediatrics. 2001;108:206–10.

    Article  Google Scholar 

  11. Laurent-Vannier A, Nathanson M, Quiriau F, et al. A public hearing. Shaken baby syndrome: guidelines on establishing a robust diagnosis and the procedures to be adopted by healthcare and social services staff. Scoping report. Ann Phys Rehabil Med. 2011;54:533–99.

    Article  CAS  PubMed  Google Scholar 

  12. Rambaud C. Bridging veins and autopsy findings in abusive head trauma. Pediatr Radiol. 2015;45:1126–31.

    Article  PubMed  Google Scholar 

  13. Case ME. Distinguishing accidental from inflicted head trauma at autopsy. Pediatr Radiol. 2014;44(S4):S632–40.

    Article  PubMed  Google Scholar 

  14. Maxeiner H. The shaken baby syndrome: a serious diagnosis on an insecure foundation? Arch Kriminol. 2008;221:65–86.

    PubMed  Google Scholar 

  15. Dawson TP, Neal JW, Llewellyn L, Thomas C. Examination of the brain and spinal cord. In: Dawson TP, Neal JW, Llewellyn L, Thomas C, editors. Neuropathology techniques. London: Arnold; 2003. p. 89–114.

    Google Scholar 

  16. Oehmichen M, Meissner C, Schmidt V, et al. Axonal injury—a diagnostic tool in forensic neuropathology? A review. Forensic Sci Int. 1998;95:67–83.

    Article  CAS  PubMed  Google Scholar 

  17. Van Baarlen J, Schuurman HJ, Huber J. Acute thymus involution in infancy and childhood: a reliable marker for duration of acute illness. Hum Pathol. 1988;19:1155–60.

    Article  PubMed  Google Scholar 

  18. Gilliland M, Folberg R. Retinal hemorrhages: replicating the clinician’s view of the eye. Forensic Sci Int. 1992;56:77–80.

    Article  CAS  PubMed  Google Scholar 

  19. May K, Parsons MA, Doran R. Hemorrhagic retinopathy of shaking injury: clinical and pathological aspects. In: Minns RA, Brown JK, editors. Shaking and other non-accidental head injuries in children. London: Mac Keith Press; 2005. p. 185–207.

    Google Scholar 

  20. Vanezis P. Interpreting bruises at necropsy. J Clin Pathol. 2001;54:348–55.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  21. Raul JS, Deck C, Willinger R, Ludes B. Finite-element models of the human head and their applications in forensic practice. Int J Legal Med. 2008;122:359–66.

    Article  PubMed  Google Scholar 

  22. Chadwick DL, Bertocci G, Castillo E, et al. Annual risk of death resulting from short falls among young children: less than 1 in 1 million. Pediatrics. 2008;121:1213–24.

    Article  PubMed  Google Scholar 

  23. Hardman JM. Microscopy of traumatic central nervous system injuries. In: Perper JA, Wecht CH, editors. Microscopic diagnosis in forensic pathology. Springfield: Charles C. Thomas; 1980. p. 268–326.

    Google Scholar 

  24. Leestma JE, Thibault KL. Physical injury to the nervous system. In: Leestma JE, editor. Forensic neuropathology. 2nd ed. New York: CRC Press; 2009. p. 399–560.

    Google Scholar 

  25. Samuel MP, McClaughlin W, Jacobson RR, et al. Fourteen cases of imposed upper airway obstruction. Arch Dis Child. 1992;67:162–70.

    Article  Google Scholar 

  26. Steinschneider A. Prolonged apnea and the sudden infant death syndrome: clinical and laboratory observation. Pediatrics. 1972;50:646–54. Very important erratum? -20 years later. Pediatrics 1994,93:944

    CAS  PubMed  Google Scholar 

  27. Griest K. Pediatric homicide. Medical investigation. New York: CRC Press; 2010. 239p.

    Google Scholar 

  28. Kohlmeyer RE, Dimaio VJM, Sharkey F, et al. The timing of histologic changes in liver lacerations. Am J Forensic Med Pathol. 2008;29:206–7.

    Article  Google Scholar 

  29. Ryan MP, Young SJ, Wells DL. Do resuscitation attempts in children who die cause injury ? Emerg Med J. 2003;20:10–2.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

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Correspondence to Caroline Rambaud .

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Appendix: Unexpected Death of A Child Under Age Two Years Intervention Form (Example from France)

Appendix: Unexpected Death of A Child Under Age Two Years Intervention Form (Example from France)

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Rambaud, C. (2018). Autopsy and Histological Findings. In: Rey-Salmon, C., Adamsbaum, C. (eds) Child Abuse. Springer, Cham. https://doi.org/10.1007/978-3-319-65882-7_20

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  • DOI: https://doi.org/10.1007/978-3-319-65882-7_20

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