Jan E. Leestma's research while affiliated with Children's Memorial Hospital and other places
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Publications (5)
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The English-language medical case literature was searched for cases of apparent or alleged child abuse between the years 1969 and 2001. Three-hundred and twenty-four cases that contained detailed individual case information were analyzed yielding 54 cases in which someone was recorded as having admitted, in some fashion, to have shaken the injured...
The English-language medical case literature was searched for cases of apparent or alleged child abuse between the years 1969 and 2001. Three-hundred and twenty-four cases that contained detailed individual case information were analyzed yielding 54 cases in which someone was recorded as having admitted, in some fashion, to have shaken the injured...
Citations
... Intracranial subdual haematoma is usually observed at imaging examination as a small amount of SDH with compressed cerebral sulci, displaced corticodural veins, sometimes in association with subdural membranes [17]. Despite the initial description of SDH in AHT as chronic, the most common observation of SDH has been that of blood collection of recent onset [18,19], and a review of all the English-language literature on shaken baby syndrome over a 32-year period demonstrated the higher prevalence of acute blood collections rather than chronic [20]. In agreement with the description that "interhemispheric haemorrhages and spinal SDH in multiple sites or of different densities were almost exclusively seen in AHT" [21], intracranial SDH collection is nowadays well known to have a different densities aspect, and the association of abusive head trauma with mixed intensities SDH on CT scan has been statistically proven (p < 0.001) [19]. ...
... Furthermore, the validity of the perpetrators' confession has itself been questioned [13,14], and some authors consider it flawed on account of plea bargaining, alleged police pressure [15], and even manipulation [16]. From the perpetrators' perspective, denial can become so vehement and entrenched as to erase memories [17], becoming genuinely sincere, and all the more convincing [18]. ...
... A review of SBS cases shows that parents/caregivers accused of causing SBS rarely report that the infant was violently shaken. In spite of an estimated 50,000 cases of alleged cases of SBS since the diagnosis was first described in the early 1970s (using an estimate of 1,200 cases/year, a conservative estimate) there are few witnessed cases of shaking causing SBS and no video-taped SBS events [9, 10] . Sometimes there is an admission of shaking the infant by a parent/caregiver in the setting of apnea or an acute life-threatening event in an effort to resuscitate the infant, but this is gentle shaking that most would think insignificant. ...
