When a funduscopic examination is the clue of maltreatment diagnostic.
OBJECTIVE
: To report a case of unexpected shaken baby syndrome, the diagnosis of which was possible after an incidental funduscopic examination.


METHODS
: Observational case report. An infant was to be sent back home with an apparent unprovoked seizure diagnosis when a funduscopic examination was made because of an incidental research study changing the diagnostic orientation.


RESULTS
: Extensive bilateral subretinal hemorrhages in the funduscopic examination allowed shaken baby syndrome unexpected diagnosis. A funduscopic examination is not usually included in the first seizure diagnosis management, even when a retinal bleeding could be present and be the clue for its causative diagnosis.


CONCLUSIONS
: We recommend having in mind the practice of a funduscopic examination in all children with a first apparently unprovoked seizure.
Barcenilla
Ana Isabel Curcoy
AI
Pediatric Department, Unidad Integrada Hospital Sant Joan de Déu-Hospital Clínic, Universidad de Barcelona, Barcelona, Spain. acurcoy@hsjdbcn.org
de la Maza
Victoria Trenchs Sainz
VT
Cuevas
Nuria Conde
NC
Ballús
Marta Morales
MM
Castanera
Alicia Serra
AS
Fernández
Jordi Pou
JP
D002648:Child; D002649:Child Abuse / Q000175:diagnosis*; D005260:Female; D006801:Humans; D007223:Infant; D009887:Ophthalmoscopy; D012166:Retinal Hemorrhage / Q000209:etiology; D012640:Seizures / Q000209:etiology; D038642:Shaken Baby Syndrome / Q000150:complications / Q000175:diagnosis*