Was the Hydranencephaly Defense Valid for the Death of a Child?: A Case Report
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Abstract
Hydranencephaly is a central nervous system disorder at birth in which brain's cerebral hemispheres are absent and replaced by sacks filled with CSF. The prevalence of hydranencephaly is less than 1 in 10,000 births, with 0.2 percent of children autopsies showing the condition.
A case of hydranencephaly is described in this report. This was discovered during the medicolegal autopsy of a newborn male infant who was accidentally found dead in a wastebasket. Presented here are the results of external examination, autopsy, histological, and toxicological findings. The fact that hydranencephaly was the accused mother's sole and most potent defense in proving her innocence was underlined here, since the presence of such an argument was enough to arouse suspicion that it was a case of infanticide committed by the mother.
Keywords
Forensic science, Forensic pathology, Hydranencephaly, Infanticide, Autopsy
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References
Rossi A. Hydranencephaly. InBrain Imaging with MRI and CT: An Image Pattern Approach 2010 Jan 1 (pp. 195-196). Cambridge University Press. https://doi.org/10.1017/CBO9781139030854.096
Pavone P, Praticò AD, Vitaliti G, Ruggieri M, Rizzo R, Parano E, Pavone L, Pero G, Falsaperla R. Hydranencephaly: cerebral spinal fluid instead of cerebral mantles. Italian journal of pediatrics. 2014 Dec;40(1):1-8. https://doi.org/10.1186/s13052-014-0079-1
Cecchetto G, Milanese L, Giordano R, Viero A, Suma V, Manara R. Looking at the missing brain: hydranencephaly case series and literature review. Pediatric neurology. 2013 Feb 1;48(2):152-8. https://doi.org/10.1016/j.pediatrneurol.2012.10.009
Verzeletti A, Leide A, De Ferrari F. Hydranencephaly in a case of suspected infanticide. Med Sci Law 2015. https://doi.org/10.1177/0025802414536153.
Ohshima T, Kondo T, Lin Z, Nagano T. Suspected maternal infanticide in a case of hydranencephaly. Int J Legal Med 1993. https://doi.org/10.1007/BF01222120.
Crome L, Sylvester PE. Hydranencephaly (hydrencephaly). Arch Dis Child 1958. https://doi.org/10.1136/adc.33.169.235.
Vaneckova M, Seidl Z, Goldova B, Vitkova I, Baxova A, Petrovicky P, et al. Post-mortem magnetic resonance imaging and its irreplaceable role in determining CNS malformation (hydranencephaly) - Case report. Brain Dev 2010. https://doi.org/10.1016/j.braindev.2009.03.011.
Quek YW, Su PH, Tsao TF, Chen JY, Ng YY, Hu JM, Chen SJ. Hydranencephaly associated with interruption of bilateral internal carotid arteries. Pediatrics & Neonatology. 2008 Apr 1;49(2):43-7. https://doi.org/10.1016/S1875-9572(08)60011-X
Lindenberg R, Swanson PD. “infantile hydranencephaly”-a report of five cases of infarction of both cerebral hemispheres in infancy. Brain 1967. https://doi.org/10.1093/brain/90.4.839.
Ziavrou K, Boumba VA, Vougiouklakis TG. Insights into the origin of postmortem ethanol. Int J Toxicol 2005. https://doi.org/10.1080/10915810590936391.
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