Pierre M, Bouvet R, Balençon M, Roussey M, Le Gueut M
Pôle de pédiatrie médico-chirurgicale et génétique clinique, CHU de Rennes, 16, boulevard de Bulgarie, BP 90 347, 35203 Rennes cedex, France; Faculté de médecine, université de Rennes-1, 2, avenue du Professeur-Léon-Bernard, 35043 Rennes cedex, France.
Faculté de médecine, université de Rennes-1, 2, avenue du Professeur-Léon-Bernard, 35043 Rennes cedex, France; Service de médecine légale et médecine pénitentiaire, CHU de Rennes, 2, rue Henri-Le-Guilloux, 35033 Rennes cedex 9, France.
Arch Pediatr. 2014 Apr;21(4):363-71. doi: 10.1016/j.arcped.2014.01.019. Epub 2014 Mar 12.
Shaken baby syndrome (SBS) is defined by the association of intracranial hemorrhage and retinal hemorrhage in infants under 2 years of age, with no obvious external trauma. This syndrome leads to frequent neurological sequelae. Therefore, these infants can claim compensation for damage if sequelae are directly and irrefutably linked to the trauma. Data on the judicial treatment are for the most part inexistent in the medical literature, the reason for which this study was conducted.
We conducted a retrospective study over a period of 10 years. We included all cases of SBS reported to the High Courts of the Ille-et-Vilaine department (Rennes and St Malo). The cases were listed from the archives of the Department of Medical Information, the Specialized Unit for Abused Children and Forensic Department at the Rennes University Hospital. We were able to look the judicial cases up after receiving agreement from the prosecutors of the two courts.
Of the 34 cases included, 12 could not be used (lost, ongoing, destroyed, transferred to another court), 16 led to an order of dismissal or to no further action because of an unknown perpetrator, insufficiently described offense, or insufficient evidence. Six authors were sentenced. It was the father (n=5) or the childminder (n=1). All perpetrators had confessed to part or all of the charges brought against them. Five children received compensation: three by the civil court and two by the commission of compensation for victims of an offense.
Most cases led to no conviction and no compensation. The identification by the physician of the person responsible for the lesions in SBS does not mean that the perpetrator will be convicted because of the strict application of criminal law. The nomination of an administrator representing the infant could resolve the lack of compensation.
摇晃婴儿综合征（SBS）的定义是2岁以下婴儿颅内出血和视网膜出血同时出现，且无明显外部创伤。该综合征常导致神经后遗症。因此，如果后遗症与创伤有直接且无可争议的联系，这些婴儿可要求损害赔偿。医学文献中大多没有关于司法处理的数据，这就是开展本研究的原因。
我们进行了一项为期10年的回顾性研究。纳入所有向伊勒-维莱讷省高等法院（雷恩和圣马洛）报告的SBS病例。这些病例来自雷恩大学医院医学信息部、受虐儿童专门单位和法医部的档案。在获得两个法院检察官的同意后，我们得以查阅司法案件。
纳入的34例病例中，12例无法使用（丢失、仍在审理、已销毁、已移送至另一法院），16例因犯罪者身份不明、罪行描述不充分或证据不足而导致驳回令或不再采取进一步行动。6名犯罪者被判刑。其中父亲5人，保姆1人。所有犯罪者均对部分或全部指控供认不讳。5名儿童获得了赔偿：3名由民事法庭赔偿，2名由犯罪受害者赔偿委员会赔偿。
大多数案件未被定罪，也未获得赔偿。医生对SBS损伤责任人的认定并不意味着犯罪者会因刑法的严格适用而被定罪。指定一名代表婴儿的管理人可以解决赔偿缺失的问题。
