title: When a funduscopic examination is the clue of maltreatment diagnostic.
abstract: 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.
authors.affiliation: Pediatric Department, Unidad Integrada Hospital Sant Joan de Déu-Hospital Clínic, Universidad de Barcelona, Barcelona, Spain. acurcoy@hsjdbcn.org
authors.forename: Ana Isabel Curcoy
authors.initials: AI
authors.lastname: Barcenilla
authors.forename: Victoria Trenchs Sainz
authors.initials: VT
authors.lastname: de la Maza
authors.forename: Nuria Conde
authors.initials: NC
authors.lastname: Cuevas
authors.forename: Marta Morales
authors.initials: MM
authors.lastname: Ballús
authors.forename: Alicia Serra
authors.initials: AS
authors.lastname: Castanera
authors.forename: Jordi Pou
authors.initials: JP
authors.lastname: Fernández
mesh_terms: 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*