| Retinal haemorrhage in abusive head trauma. | |
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MedLine Citation:
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PMID: 20584025 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Paediatric abusive head injury may have grave consequences, especially when characterized by repetitive acceleration-deceleration forces (shaken baby syndrome). Death occurs in approximately 30% and permanent neurologic damage in up to 80% of the victims. Retinal haemorrhages are a cardinal sign seen in approximately 85% of cases. In most cases haemorrhages are preretinal, intraretinal and subretinal, too numerous to count, and involving the entire retinal surface extending to the ora serrata. Traumatic macular retinoschisis is a lesion with important diagnostic significance. Vitreoretinal traction appears to be the mechanism of haemorrhage and schisis formation along with a possible role of orbital tissue trauma from repetitive acceleration-deceleration forces. Ophthalmologists must carefully document ocular findings. Appropriate autopsy examination should include ocular and orbital tissue removal. Although there is a wide differential diagnosis for retinal haemorrhages, clinical appearance, when considered in the context of systemic and laboratory findings, usually leads to the correct diagnosis. |
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Authors:
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Yair Morad; Tamara Wygnansky-Jaffe; Alex V Levin |
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Publication Detail:
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Type: Journal Article; Review Date: 2010-03-15 |
Journal Detail:
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Title: Clinical & experimental ophthalmology Volume: 38 ISSN: 1442-9071 ISO Abbreviation: Clin. Experiment. Ophthalmol. Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-07-23 Completed Date: 2010-11-09 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100896531 Medline TA: Clin Experiment Ophthalmol Country: Australia |
Other Details:
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Languages: eng Pagination: 514-20 Citation Subset: IM |
Affiliation:
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Pediatric Ophthalmology Service, Assaf Harofeh Medical Center, Zrifin. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Child Abuse* Craniocerebral Trauma / complications*, diagnosis*, physiopathology Diagnosis, Differential Humans Infant Ophthalmology* Retinal Hemorrhage / diagnosis*, etiology*, physiopathology Shaken Baby Syndrome / complications, diagnosis, physiopathology |
| Comments/Corrections | |
Comment In:
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Clin Experiment Ophthalmol. 2010 Jul;38(5):435-6
[PMID:
20649611
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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