Anton Knieling

Shaken Baby Syndrome. Case Report

Abstract Recognition of abuse and the treatment of child victims are recent concepts in the history of mankind. Increasing the awareness of the need to treat and prevent such abuse is a characteristic of modern society. The beaten child syndrome was described by Ambroise Tardieu in 1860, and Shaken Baby Syndrome (SBS) was clearly illustrated in medical literature a century later by Caffey in 1972. The definition of SBS is based on the association of major intracranial lesions with minimal external lesions and the diagnosis is still difficult to establish. The authors describe a reduced number of 7 cases of pediatric patients addressed for forensic expertise and where suspicion of SBS has arisen. The lesion mechanisms involved in the production of this syndrome are still controversial and are sources of frequent debates in legal medicine. These uncertainties can make legal punishment inoperable. The therapeutic management of these children in neurosurgery is not subject to international consensus, and discrepancies between different clinics impede a comparative cohort assessment. However, SBS is a major public health problem due to severe neurological injuries caused to child victims during brain development.

THE SPECIFICS AND PECULIARITIES OF MEDICAL LIABILITY

This article aims to analyze an exception to the principle of indirect applicability of the directive, as secondary source of law, except in a case underlined the courts across Suceava Court of Appeal. The issue that has generated substantive dispute relating to extrapolate the definition of the concept of unity from a European directive so that the concept of unit to cover premises of a company, although national law does not provide this distinction.