When a funduscopic examination is the clue of maltreatment diagnostic.
| Autor: | Barcenilla AI; Pediatric Department, Unidad Integrada Hospital Sant Joan de Déu-Hospital Clínic, Universidad de Barcelona, Barcelona, Spain. acurcoy@hsjdbcn.org, de la Maza VT, Cuevas NC, Ballús MM, Castanera AS, Fernández JP |
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| Jazyk: | angličtina |
| Zdroj: | Pediatric emergency care [Pediatr Emerg Care] 2006 Jul; Vol. 22 (7), pp. 495-6. |
| DOI: | 10.1097/01.pec.0000227385.46143.20 |
| Abstrakt: | 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. |
| Databáze: | MEDLINE |
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