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Neurosurg Clin N Am. 2002 Apr;13(2):201-11, vi.

Ophthalmology of shaken baby syndrome.

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  • 1Department of Ophthalmology, Hospital for Sick Children, Departments of Paediatrics, Genetics, and Ophthalmology, University of Toronto, Toronto, Ontario, Canada.


Retinal hemorrhages are an important indicator of Shaken Baby syndrome. However, a thorough description which includes the number, type, and distribution pattern of hemorrhages can be useful in determining their specificity. In particular, numerous pre-retinal, intraretinal, and subretinal hemorrhages extending out to the edges of the retina and/or splitting of the retina (traumatic retinoschisis) seem to be particularly indicative of shaking with a very narrow differential diagnosis. Shaking appears to be a key element in creating hemorrhagic retinopathy.

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