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Updated: May 29, 2026

Intrathecal Application of a Fluorescent Dye for the Identification of Cerebrospinal Fluid Leaks in Cochlear Malformation
Published on: February 29, 2020
[Perforation of the eardrum caused by child abuse]
Christian Banner Gindesgaard1, Troels Reinholdt Møller
1Øre-næse-hals Afdelingen, Vejle Sygehus, 7100 Vejle, Denmark. christianbannergindesgaard@gmail.com
Abstract:
Munchausen syndrome by proxy (MSBP) is a complex, multifaceted form of child abuse that presents a challenge to all health-care providers. Diagnosis is difficult in cases of MSBP, and it is imperative to recognise the clinical features of MSBP in both the child and the perpetrator. All members of the health-care team must stay objective in the interactions with families where MSBP is suspected and make referrals to the proper agencies. A case is presented to explain the medical and social complexities associated with nursing and diagnosing MSBP. This article also provides a brief review of the definition of MSBP.
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