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

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dc.authoridTülin Tiraje Celkan / 0000-0001-7287-1276en_US
dc.authorscopusidTülin Tiraje Celkan / 35584411200en_US
dc.authorwosidTülin Tiraje Celkan / FZB-3980-2022en_US
dc.contributor.authorSilahlı, Nicel Yıldız
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.accessioned2022-11-11T08:12:49Z
dc.date.available2022-11-11T08:12:49Z
dc.date.issued2022en_US
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
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.en_US
dc.identifier.citationYıldız Silahlı, N., Akçakaya, H., Aslıyüksek, H., Yılmaz, M. E., Madazlı, R., & Celkan, T. (2022). Is Hypoxia a Cause or a Consequence? The Medicolegal Considerations of Neonatal Encephalopathy and Cerebral Palsy. The Medicolegal Considerations of Neonatal Encephalopathy and Cerebral Palsy.en_US
dc.identifier.doi10.4323/rjlm.2022.12en_US
dc.identifier.endpage19en_US
dc.identifier.issue1en_US
dc.identifier.scopus2-s2.0-85139013100en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage12en_US
dc.identifier.urihttps://doi.org/10.4323/rjlm.2022.12
dc.identifier.urihttps://hdl.handle.net/20.500.12713/3325
dc.identifier.volume30en_US
dc.identifier.wosWOS:000864052400003en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.institutionauthorCelkan, Tülin Tiraje
dc.language.isoenen_US
dc.publisherROMANIAN LEGAL MED SOCen_US
dc.relation.ispartofROMANIAN JOURNAL OF LEGAL MEDICINEen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectHypoxic Ischemic Encephalopathyen_US
dc.subjectCerebral Palsyen_US
dc.subjectMalpracticeen_US
dc.subjectNeonatal Encephalopathyen_US
dc.subjectRare Diseasesen_US
dc.titleIs hypoxia a cause or a consequence? the medico-legal considerations of neonatal encephalopathy and cerebral palsyen_US
dc.typeArticleen_US

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