Inflicted childhood neurotrauma (shaken baby syndrome): ophthalmic findings.
Inflicted childhood neurotrauma (shaken baby syndrome) is the term used for violent, nonaccidental, repetitive, unrestrained acceleration-deceleration head and neck movements, with or without blunt head trauma, combined with a unique, age-related biomechanical sensitivity in children typically younger than 3 years. This syndrome is typically characterized by a combination of fractures, intracranial hemorrhages, and intraocular hemorrhages. Retinal hemorrhage is the most common ophthalmic finding, and usually occurs at all levels of the retina. In recent years, increasing pressure has been placed on ophthalmologists to render diagnostic interpretations of the retinal findings in children suspected to be victims, which may have great forensic implications in criminal proceedings. New research has increased our understanding of the pathophysiology of retinal hemorrhages, the importance of specifically characterizing the types, patterns, and extent of these retinal hemorrhages, and the differential diagnosis.
Forbes
Brian J
BJ
Department of Ophthalmology, The Children's Hospital of Philadelphia, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Christian
Cindy W
CW
Judkins
Alexander R
AR
Kryston
Kasia
K
D002675:Child, Preschool; D005131:Eye Injuries / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D007223:Infant; D020300:Intracranial Hemorrhages / Q000175:diagnosis; D012166:Retinal Hemorrhage / Q000175:diagnosis / Q000628:therapy; D038642:Shaken Baby Syndrome / Q000175:diagnosis / Q000628:therapy