Retinal haemorrhage in infants investigated for suspected maltreatment is strongly correlated with intracranial pathology.
infant abuse
intracranial pathology
retinal haemorrhage
subdural haemorrhage
Journal
Acta paediatrica (Oslo, Norway : 1992)
ISSN: 1651-2227
Titre abrégé: Acta Paediatr
Pays: Norway
ID NLM: 9205968
Informations de publication
Date de publication:
Apr 2022
Apr 2022
Historique:
revised:
01
10
2021
received:
26
08
2021
accepted:
05
10
2021
pubmed:
8
10
2021
medline:
12
4
2022
entrez:
7
10
2021
Statut:
ppublish
Résumé
To test the two prevailing hypotheses regarding the aetiology of infant retinal haemorrhage: (a) traction forces exerted by the lens and/or corpus vitreum on the retina during infant shaking or (b) retinal vessel leakage secondary to intracranial pathology and raised intracranial pressure. Comparison of medical findings and reported type of trauma in infants investigated for suspected physical abuse with presence (n = 29) or non-presence of retinal haemorrhage (RH) (n = 119). Intracranial pathology was recorded in 15 (13%) of the non-RH cases and in 27 (97%) of the RH cases (p < 0.0001). All 18 infants with bilateral RH had intracranial pathology. Of 27 infants subjected to witnessed or admitted shaking, two were in the group with RH. One had a single unilateral RH and no intracranial pathology. The other had bilateral RH and intracranial pathology with non-specific white matter changes, acute subdural and subarachnoid haemorrhages, and suspected cortical venous thrombosis. In 15 RH cases, there was no trauma reported and no findings other than RH and intracranial pathology. Accidental blunt head trauma was reported in 7 RH cases. The present study indicates that RH in infants is secondary to intracranial pathology of non-specific aetiology.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
800-808Commentaires et corrections
Type : CommentIn
Informations de copyright
© 2021 The Authors. Acta Paediatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica.
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