What’s shaken child syndrome? And why would possibly a Texas man be executed for it? | Well being Information


In 2002, Robert Roberson discovered his two-year-old daughter, Nikki Curtis, unresponsive after she fell off a mattress within the household’s home within the East Texas metropolis of Palestine. Roberson took her to hospital, however a day later, the child tragically died after succumbing to a head damage.

Inside a yr, Roberson, a labourer who’s now 57, had been tried, sentenced and positioned on demise row for the killing of his daughter. Medical doctors and an post-mortem report concluded that child Nikki had died following extreme abuse by the hands of Roberson – particularly from shaken child syndrome.

The Texas Committee on Prison Jurisprudence, which is reconsidering the lawfulness of Roberson’s conviction, issued a subpoena for Roberson to attend a listening to scheduled for Monday, October 21.

However Roberson very almost didn’t make it to Monday. After a Texas state board rejected his clemency plea on Wednesday final week, he had been scheduled to obtain a deadly injection on Thursday night at 6pm native time (23:00 GMT) on the Texas State Penitentiary at Huntsville.

However in a dramatic flip of occasions, simply hours earlier than the execution was attributable to happen, a state decide in Texas issued a brief restraining order halting it after a committee within the Republican-controlled state Home of Representatives petitioned the courtroom.

That call triggered an avalanche of authorized actions that continued late into the night time. After Decide Jessica Mangrun’s resolution was introduced, the Texas Courtroom of Prison Appeals lifted the injunction and allowed the execution to proceed. However then the Texas Supreme Courtroom weighed in, issuing a keep of execution.

Roberson, his attorneys, Texas lawmakers and even the lead detective on the unique investigation say he’s on demise row for a criminal offense he didn’t commit.

The science behind shaken child syndrome has been introduced into query lately. So what’s it, and what occurred within the case of child Nikki?

Who’s Robert Roberson and what was the proof towards him?

Initially from Wooden County in Texas, Roberson had beforehand labored as a prepare dinner, development employee, welder and labourer, in line with the Texas Division of Prison Justice.

The mom of Nikki, who has not been named, was reported to have been denied custody of the child after her start. The infant’s maternal grandparents granted Roberson custody.

The post-mortem report for the child cited bruises on her head, mind swelling and bleeding behind her eyes. In the end, the post-mortem decided that Roberson’s daughter died of blunt-force head trauma, which medical doctors and police claimed was attributable to shaking.

At his trial, witnesses together with Roberson’s ex-girlfriend, her daughter and her niece, testified that that they had seen him smack and shake his child daughter “in anger”.

The hospital workers additionally reported that when Roberson introduced his daughter to the native hospital, Palestine Regional Medical Middle, he confirmed no response or emotion, additional stoking suspicions of abuse.

“They seen his incapability to clarify Nikki’s situation as an indication that he have to be mendacity,” in line with the web site of the nonprofit authorized organisation the Innocence Challenge, which is a part of Roberson’s authorized staff. Roberson was identified with autism after he was convicted, which his attorneys say explains his lack of response.

The Texas Courtroom of Prison Appeals halted his execution in 2016 however, in 2023, allowed the case to proceed with a brand new execution date after ruling that new proof about his autism and different diseases the child was struggling on the time was not sufficient to overturn the conviction.

On Wednesday, Texas’s Board of Pardons and Paroles voted unanimously – 6-0 – towards commuting his demise sentence to life in jail.

Texas State Penitentiary
The Texas State Penitentiary at Huntsville, the place the State of Texas execution chamber is situated [Todd Spoth for The Washington Post via Getty Images]

Why do some folks imagine he’s harmless?

Roberson’s supporters argue that his conviction was primarily based on incomplete proof and that details about the child’s underlying well being circumstances was not correctly thought of.

A number of persons are campaigning for Roberson to be granted clemency – which covers something from a full pardon to the sentence being commuted from demise to life in jail – together with Brian Wharton, the lead detective in Roberson’s case, who testified towards him at trial.

When explaining why he modified his thoughts about Roberson’s guilt, Wharton has spoken about Roberson’s autism prognosis, and mentioned his staff ought to have investigated additional to rule out different causes for the child’s demise.

In a video revealed on the New York Instances YouTube channel on July 30 this yr, Wharton spoke to Roberson for the primary time in round 20 years by Plexiglass on the Texas State Penitentiary at Huntsville.

“I’m so sorry that you’re nonetheless right here. It’s our failure,” Wharton mentioned to Roberson within the movie.

“I helped put him right here, and he didn’t deserve it,” Wharton’s voiceover performed within the video towards visuals of the boys nonetheless speaking within the jail’s assembly space. “No different potentialities for her damage have been thought of. I remorse deeply that we adopted the best path.”

Roberson has maintained his innocence for the twenty years he has spent on demise row. His attorneys argue that on the time of her demise, child Nikki had pneumonia that had turned septic. Courtroom information additionally state that she was battling a slew of different well being issues on the time of her demise.

The Every day Mail reported {that a} week earlier than her demise, Nikki had been sick and was taken to a neighborhood emergency room the place she was prescribed Phenergan, a drug used to deal with ache, allergic reactions and movement illness that now comes with a warning for kids her age.

The New Zealand Medicines and Medical Gadgets Security Authority web site warns: “Phenergan should not be utilized in kids below 6 years of age, as a result of potential for deadly respiratory melancholy”, amongst different harmful unwanted side effects.

When her situation didn’t enhance, she was given extra Phenergan and codeine, an opioid that now cannot be given to kids below 18.

What are Roberson’s supporters calling for?

Supporters need clemency – which may imply something from a full pardon to a discount in his sentence – for Roberson. His attorneys need the courtroom to reassess proof that reveals that Nikki’s demise was attributable to her present well being points.

A petition launched by the Innocence Challenge, calling on Texas Governor Greg Abbott to intervene in Roberson’s execution, had amassed 112,851 signatures as of 14:20 GMT.

Some 86 Texas lawmakers, each Republicans and Democrats, are additionally calling for clemency for Roberson. Democrat state consultant of Texas, Joe Moody, wrote in a social media publish on Friday, “We have now to do all we are able to to pump the brakes earlier than this stains Texas justice for generations.”

Others calling for clemency embody parental rights teams, autism advocates, religion leaders and even the best-selling crime novelist, John Grisham. In a column for the Palestine Herald-Press, Grisham wrote: “Nikki’s demise was a tragedy, not a criminal offense.”

Detective Wharton has additionally known as for the demise penalty to be abolished in Texas and in the US as an entire. If Roberson is executed, his demise would be the fifth execution this yr in Texas, and the twentieth execution this yr within the US, in line with the Washington-based nonprofit the Loss of life Penalty Data Middle. Will probably be the primary in a case of shaken child syndrome.

Whereas Texas legislation permits the state’s Governor Abbott to grant a one-time reprieve from the execution for 30 days, he can not grant clemency unilaterally. He requires the board’s approval.

What’s shaken child syndrome?

In line with the Mayo Clinic, shaken child syndrome is a critical mind damage attributable to forcefully shaking an toddler or a toddler. It may manifest as a head damage, which was the conclusion of Nikki’s post-mortem. This will trigger everlasting damage or mind harm and even the demise of the toddler.

Sometimes, damage by shaken child syndrome is triggered when “a guardian or caregiver severely shakes a child or toddler attributable to frustration or anger – actually because the kid received’t cease crying”, the Mayo Clinic says, including it’s not often attributable to bouncing a toddler or by minor falls.

The damage is triggered as a result of infants and younger kids usually have weak neck muscular tissues that can’t absolutely help the load of their heads. When vigorously shaken, the delicate mind strikes contained in the cranium. Because of this, mind cells may be destroyed and oxygen provide to the mind may be blocked.

The speculation of shaken child syndrome was first launched by Norman Guthkelch, a British paediatric neurosurgeon, in a paper he wrote for the British Medical Journal in 1971. He found it when sufferers – younger toddlers – have been coming to him with bleeding on the floor of the mind however no exterior indicators of abuse reminiscent of bruising. He wrote the paper to warn mother and father towards shaking their kids.

In an inventory of signs of shaken child syndrome, the Mayo Clinic consists of: irritability, problem staying awake, respiratory issues, vomiting, paralysis or coma. In delicate instances of the syndrome, the child may appear OK quickly after the damage, however might develop well being or behavioural issues over time.

In line with the Nationwide Middle on Shaken Child Syndrome, a US-based public charity, there are roughly 1,300 reported instances of shaken child syndrome within the US yearly. It provides that the syndrome is the main explanation for bodily baby abuse-related deaths within the US.

In 2009, the American Academy of Pediatrics modified the title of the damage to “abusive head trauma”.

Is shaken child syndrome ‘junk science’?

Whereas many paediatricians think about shaken child syndrome to be a reliable explanation for damage, the American Affiliation of Pediatrics acknowledged in an April 2020 publication that some in medical and authorized circles had beforehand “misinterpreted” it.

Medical doctors now say that many different circumstances may cause the signs linked to shaken child syndrome. Because of this, shaken child syndrome is now thought of a prognosis of exclusion, which implies that solely when all different doable causes behind the signs are first dominated out, it may be thought of. 

British paediatric neurosurgeon Guthkelch died aged 100 in 2016. Throughout his remaining years, he labored towards the misinterpretation of his work. Technical author and journalist Sue Luttner quoted him in her weblog in 2012, saying: “I’m frankly fairly disturbed that what I supposed as a pleasant suggestion for avoiding damage to kids has develop into an excuse for imprisoning harmless mother and father.”

To this point, a minimum of 32 folks in 18 US states have been exonerated primarily based on the more and more discredited speculation, in addition to witnesses taking again their testimonies, after being convicted for shaken child syndrome, in line with the Nationwide Registry of Exonerations.

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