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Pediatr Emerg Care. 2006 Jul;22(7):495-6.

When a funduscopic examination is the clue of maltreatment diagnostic.

Author information

1
Pediatric Department, Unidad Integrada Hospital Sant Joan de Déu-Hospital Clínic, Universidad de Barcelona, Barcelona, Spain. acurcoy@hsjdbcn.org

Abstract

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.

[Indexed for MEDLINE]

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