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.
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.
Authors: S A Maguire; P O Watts; A D Shaw; S Holden; R H Taylor; W J Watkins; M K Mann; V Tempest; A M Kemp Journal: Eye (Lond) Date: 2012-10-19 Impact factor: 3.775