A Daubert Analysis of Abusive Head Trauma/Shaken Baby Syndrome — Part II: An Examination of the Differential Diagnosis

98 Pages Posted: 4 Jul 2013  

Sandeep K. Narang

University of Texas Health Science Center at San Antonio

John David Melville

University of Texas Health Science Center at San Antonio

Christopher S. Greeley

University of Texas Health Science Center at Houston

James D. Anderst

Children's Mercy Hospital

Shannon L. Carpenter

Children's Mercy Hospital

Betty Spivack

Independent

Date Written: July 1, 2013

Abstract

For reasons inexplicable to many physicians, and unbeknownst to many others, the diagnosis of Abusive Head Trauma/Shaken Baby Syndrome (AHT/SBS) remains a lightning rod for controversy. Recent legal commentary has suggested that there is insufficient science girding this diagnosis. In Part I of the analysis on this topic, Dr. Narang presented a relatively comprehensive analysis of the current science surrounding AHT/SBS, and more specifically, surrounding two of the most common injuries found in AHT/SBS — subdural hemorrhages (SDHs) and retinal hemorrhages (RHs). Dr. Narang asserted that the diagnosis of AHT is supported by "at least 700 peer-reviewed, clinical medical articles comprising thousands of pages of medical literature, published by over one thousand different medical authors, from at least twenty-eight different countries." In response to this article, Findley et al reiterated an insufficient scientific basis for the diagnosis, citing, amongst other things, logical fallacies (such as "circularity" and "the prosecutor's fallacy") as premises for the fallacious literature. In Part II of this analysis, Narang et al swing the microscope in the opposite direction. Narang et al scrutinize the "differential diagnosis" of AHT, and the differential diagnosis methodology itself, to ascertain whether the scientific process of coming to the AHT diagnosis meets reliability and relevancy criteria under Daubert.

Keywords: Abusive Head Trauma, Shaken Baby Syndrome, Differential Diagnosis, Daubert

Suggested Citation

Narang, Sandeep K. and Melville, John David and Greeley, Christopher S. and Anderst, James D. and Carpenter, Shannon L. and Spivack, Betty, A Daubert Analysis of Abusive Head Trauma/Shaken Baby Syndrome — Part II: An Examination of the Differential Diagnosis (July 1, 2013). Available at SSRN: https://ssrn.com/abstract=2288126 or http://dx.doi.org/10.2139/ssrn.2288126

Sandeep K. Narang (Contact Author)

University of Texas Health Science Center at San Antonio ( email )

315 N. San Saba
Suite 201
San Antonio, TX 78248
United States

John David Melville

University of Texas Health Science Center at San Antonio ( email )

315 N. San Saba, Suite 201
San Antonio, TX 78207

Christopher S. Greeley

University of Texas Health Science Center at Houston ( email )

6431 Fannin Street
Houston, TX 77030

James D. Anderst

Children's Mercy Hospital ( email )

2401 Gillham Rd
Kansas City, MO 64108
United States

Shannon L. Carpenter

Children's Mercy Hospital ( email )

2401 Gillham Rd
Kansas City, MO 64108
United States

Betty Spivack

Independent ( email )

No Address Available

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