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2013, Number 3

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Rev Med MD 2013; 4.5 (3)

Ophthalmologic findings in shaken baby syndrome

Delgado-Pelayo S, Delgado-Pelayo RM

Language: Spanish
References: 24
Page: 181-185
PDF size: 580.33 Kb.


ABSTRACT

The shaken baby syndrome (SBS) is a severe form of physical abuse with multiple repercussions, the babies and kids are especially vulnerable to violent shakes, representing an important cause of death within this age group. It is of great importance the early diagnosis to avoid posterior sequels. One of the clinical manifestations of great use are the ophthalmological alterations leading to the diagnose of SBS, such as retinal hemorrhages, retinal folds, vitreous hemorrhages, retinoschisis, papilledema, optical nerve sheath hemorrhages. Said findings are observed through ophthalmoscopy under mydriasis and should describe accordingly to the number, type or pattern of hemorrhage distribution, since this has a diagnosis and prognosis implication; correlated with the intracranial abnormalities severity. The latter, should be complemented with the clinical scene, including the intentional search for additional fractures, lesions on intra-abdominal level and subdural hematoma. A variety of conditions may result in retinal hemorrhages on lacting infants or young kids, reason why they should be known to perform a proper differential diagnosis. Young kids with ophthalmological findings of cranial-encephalic trauma (CET) require a regular follow-up by an ophthalmologist. The visual potential on kids with CET is limited by the lesions on the central nervous system and the retinal lesions.


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