
@article{ref1,
title="When a funduscopic examination is the clue of maltreatment diagnostic",
journal="Pediatric emergency care",
year="2006",
author="Barcenilla, Ana Isabel Curcoy and de la Maza, Victoria Trenchs Sainz and Cuevas, Nuria Conde and Ballús, Marta Morales and Castanera, Alicia Serra and Fernández, Jordi Pou",
volume="22",
number="7",
pages="495-496",
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.<p /><p>Language: en</p>",
language="en",
issn="0749-5161",
doi="10.1097/01.pec.0000227385.46143.20",
url="http://dx.doi.org/10.1097/01.pec.0000227385.46143.20"
}