Lethal Consequences in an Infant with Myelomeningocele Following an Inadvertent Treatment  

作　　者：Xuemei Wu Libing Yun Min Liu Xufu Yi 

机构地区：[1]Department of Forensic Pathology,West China School of Preclinical and Forensic Medicine,Sichuan University,Chengdu,Sichuan,China

出　　处：《Journal of Forensic Science and Medicine》2016年第3期164-166,共3页法庭科学与法医学杂志（英文）

摘　　要：Myelomeningocele(MMC)is a protrusion of spinal cord contents and meninges through a vertebral defect.Iatrogenic deaths of patients with MMC are rarely encountered in forensic practice.In our case,a 3‑month‑old female was born with a lumbosacral cyst,the size of which had been increasing gradually over age.There was no neurological,orthopedic,or urologic dysfunction.On the day of her death,she received a repetitive and rapid lumbosacral cyst puncture drainage procedure,performed by an illegal medical practitioner.Postmortem autopsy findings confirmed a diagnosis of MMC and the cause of death to be cerebellar tonsillar herniation.This is a pathetic case of preventable infant death.This report suggests that the possibility of MMC should be considered in infants born with a lumbosacral cyst,and aspiration is inadvisable.Besides,forensic autopsy has a valuable role in determining the exact cause of death,identifying,or excluding iatrogenic factors that may be relevant to death following a medical procedure.A final point is that prevention programs should be developed,especially by the health care sectors to reduce such tragedy.

关 键 词：AUTOPSY cerebellar tonsillar herniation iatrogenic death inadvertent treatment MYELOMENINGOCELE 

分 类 号：R73[医药卫生—肿瘤]