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Citation |
Barcenilla AI, de la Maza VT, Cuevas NC, Ballús MM, Castanera AS, Fernández JP. Pediatr. Emerg. Care 2006; 22(7): 495-496. |
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Affiliation |
Pediatric Department, Unidad Integrada Hospital Sant Joan de Déu-Hospital Clínic, Universidad de Barcelona, Barcelona, Spain. acurcoy@hsjdbcn.org |
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Copyright |
(Copyright © 2006, Lippincott Williams and Wilkins) |
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DOI |
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PMID |
16871110 |
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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. CONCLUSION: : We recommend having in mind the practice of a funduscopic examination in all children with a first apparently unprovoked seizure. Language: en |