Is hypoxia a cause or a consequence? The medico-legal considerations of neonatal encephalopathy and cerebral palsy

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dc.authorid0000-0002-8327-8512
dc.contributor.authorYıldız Silahlı, Nicel
dc.contributor.authorAkçakaya, Nihan Hande
dc.contributor.authorAslıyüksek, Hızır
dc.contributor.authorYılmaz, Muhammed Emre
dc.contributor.authorMadazlı, Rıza
dc.contributor.authorCelkan, Tülin Tiraje
dc.date.accessioned2022-10-19T08:28:23Z
dc.date.available2022-10-19T08:28:23Z
dc.date.issued2022
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Çocuk Sağlığı ve Hastalıkları Ana Bilim Dalı
dc.description.abstractNeonatal encephalopathy (NE) occurs in the first month after birth of infants and progresses with seizures, respiratory depression and hypotonia. NE is multifactorial, however hypoxia is the first considered cause. Our study aims to discuss medicolegal processes behind the etiological and clinical features of NE and cerebral palsy (CP) over cases evaluated by the specialized board of malpractice of the Council of Forensic Medicine. The 130 cases in the judicial process claimed to be from lack of oxygen at birth, were evaluated retrospectively. The cases were categorized into two groups as evidenced with hypoxic-ischemic encephalopathy (HIE) and not evaluated evidence with HIE, by using blood gas evaluations and brain MRI findings. All risk factors related to labor, resuscitation, intubation, and referral to other NICUs, and presence of seizure were documented in both groups. We found no evidence of intrapartum hypoxia in about 70% of NE and it is suggesting that the causes of NE may have started in the antepartum period. It is necessary to focus on other inherent diseases that play a role in the etiology in medicolegal process, as well as investigate the presence of hypoxia and whether the correct intervention is made.
dc.identifier.citationYıldız Silahlı, N., Akçakaya, N. H., Aslıyüksek, H., Yılmaz, M. E., Madazlı, R. ve Celkan, T. T. (2022). Is hypoxia a cause or a consequence? The medico-legal considerations of neonatal encephalopathy and cerebral palsy. Romanian Journal of Legal Medicine, 30(1), 12-19. https://doi.org/10.4323/rjlm.2022.12
dc.identifier.doi10.4323/rjlm.2022.12
dc.identifier.endpage19
dc.identifier.issn1221-8618
dc.identifier.issue1
dc.identifier.scopus2-s2.0-85139013100
dc.identifier.scopusqualityQ4
dc.identifier.startpage12
dc.identifier.urihttps://doi.org/10.4323/rjlm.2022.12
dc.identifier.urihttps://hdl.handle.net/20.500.12511/9846
dc.identifier.volume30
dc.identifier.wos000864052400003en_US
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.institutionauthorYıldız Silahlı, Nicel
dc.language.isoen
dc.publisherRomanian Legal Medicine Society
dc.relation.ispartofRomanian Journal of Legal Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectCerebral Palsy
dc.subjectHypoxic Ischemic Encephalopathy
dc.subjectMalpractice
dc.subjectNeonatal Encephalopathy
dc.subjectRare Diseases
dc.titleIs hypoxia a cause or a consequence? The medico-legal considerations of neonatal encephalopathy and cerebral palsy
dc.typeArticle

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