Citation

Krugman SD, Zorc JJ, Walker AR. Pediatr. Emerg. Care 2000; 16(6): 432-434.

Affiliation

Department of Pediatrics, Franklin Square Hospital Center, Baltimore, Maryland 21237, USA.

Copyright

(Copyright © 2000, Lippincott Williams and Wilkins)

DOI

unavailable

PMID

11138891

Abstract

We present two cases of infants with hyponatremic seizures who had an unexpected finding of retinal hemorrhages. A review of the literature found no prior association between hyponatremic seizures and retinal hemorrhages. The retinal hemorrhages found in the first patient were a result of shaken baby syndrome (SBS) and associated with long bone fractures and a subdural hematoma. The second patient had retinal hemorrhages and cerebral edema, presumed to be a result of SBS. We suggest that children who become hyponatremic owing to neglect, lack of education, or intentional water poisoning may be at risk for other forms of child abuse. Additional research needs to be done to further elucidate the relationship between hyponatremic seizures and child abuse.

Language: en