Retinal Findings in Young Children With Increased Intracranial Pressure From Nontraumatic Causes
| Autor: | Paul H. Phillips, Michael Partington, Emily A. McCourt, Gil Binenbaum, Brooke Geddie, Alex V. Levin, Susan Schloff, David L. Rogers, Waleed Abed Alnabi, Abhaya Kulkarni, Brian J. Forbes, Avery H. Weiss, Kenneth W. Feldman, Karin S. Bierbrauer, Angell Shi |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Intracranial Pressure Article Head trauma 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine 030225 pediatrics medicine Craniocerebral Trauma Humans Pediatrics Perinatology and Child Health Prospective Studies Papilledema Prospective cohort study Intracranial pressure business.industry Infant Retinal Hemorrhage Retinal medicine.disease Confidence interval Hydrocephalus Intraventricular hemorrhage chemistry Child Preschool Pediatrics Perinatology and Child Health Female medicine.symptom Intracranial Hypertension business |
| Zdroj: | Pediatrics |
| Popis: | OBJECTIVES: Increased intracranial pressure (ICP) has been suggested in legal settings as an alternative cause of retinal hemorrhages (RHs) in young children who may have sustained abusive head trauma. We assessed the prevalence and characteristics of RHs in children with increased ICP. METHODS: We conducted a prospective, multicenter study of children RESULTS: Fifty-six children (27 boys) were studied (mean age 15.4 months; range 1–43 months). All of the children had elevated ICP that required intervention. One child had papilledema. No child (0%; 95% confidence interval: 0%–6.4%) or eye (0%; 95% confidence interval: 0%–3.3%) was found to have an RH. Causes of increased ICP included hydrocephalus, intraventricular hemorrhage, congenital malformations, malfunctioning shunts, and the presence of intracranial space-occupying lesions. CONCLUSIONS: Although acute increased ICP can present in children with a pattern of peripapillary superficial RHs in the presence of papilledema, our study supports the conclusion that RHs rarely occur in the absence of optic disc swelling and do not present beyond the peripapillary area in the entities we have studied. |
| Databáze: | OpenAIRE |
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