Retinal findings in children with intracranial hemorrhage.
OBJECTIVE
To identify the incidence of Terson's syndrome in children.


METHODS
Prospective, observational case series.


METHODS
Fifty-seven consecutive children with known intracranial hemorrhage from nonabuse causes.


METHODS
Dilated fundus examination to detect intraretinal hemorrhages or other abnormalities.


METHODS
Presence or absence of intraretinal hemorrhages or other abnormalities.


RESULTS
Fifty-five patients (96%) had no evidence of intraretinal or vitreous hemorrhage. Two patients had abnormal retinal examinations. One patient had a single dot hemorrhage associated with presumed infectious white retinal lesions. The second patient had three flame and two deeper dot intraretinal hemorrhages after a motor vehicle accident (1.5% incidence of retinal hemorrhage).


CONCLUSIONS
Retinal hemorrhage is uncommon in children with intracranial hemorrhage not resulting from shaken baby syndrome. The maximal incidence of intraretinal hemorrhage in children with nonabuse intracranial hemorrhage is 8%.
Schloff
Susan
S
Department of Ophthalmology, The Hospital for Sick Children, University of Toronto, Ontario, Canada.
Mullaney
Paul B
PB
Armstrong
Derek C
DC
Simantirakis
Emmanuel
E
Humphreys
Robin P
RP
Myseros
John S
JS
Buncic
J Raymond
JR
Levin
Alex V
AV
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D005654:Fundus Oculi; D006801:Humans; D015994:Incidence; D007223:Infant; D020300:Intracranial Hemorrhages / Q000150:complications*; D008297:Male; D009864:Ontario / Q000453:epidemiology; D011446:Prospective Studies; D012166:Retinal Hemorrhage / Q000453:epidemiology / Q000209:etiology*; D013577:Syndrome; D014823:Vitreous Hemorrhage / Q000209:etiology