Ophthalmology · 2002
Retinal findings in children with intracranial hemorrhage.
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Schloff Susan, Mullaney Paul B, Armstrong Derek C, Simantirakis Emmanuel, Humphreys Robin P, Myseros John S, Buncic J Raymond, Levin Alex V
Аннотация
PURPOSE: To identify the incidence of Terson's syndrome in children.
DESIGN: Prospective, observational case series.
PARTICIPANTS: Fifty-seven consecutive children with known intracranial hemorrhage from nonabuse causes.
METHODS: Dilated fundus examination to detect intraretinal hemorrhages or other abnormalities.
MAIN OUTCOME MEASURES: Presence or absence of intraretinal hemorrhages or other abnormalities.
RESULTS: Fifty-five patients (96%) had no evidence of intraretinal or vitreous hemorrhage. Two patients had abnormal retinal examinations. One patient had a single dot hemorrhage associated with presumed infectious white retinal lesions. The second patient had three flame and two deeper dot intraretinal hemorrhages after a motor vehicle accident (1.5% incidence of retinal hemorrhage).
CONCLUSIONS: Retinal hemorrhage is uncommon in children with intracranial hemorrhage not resulting from shaken baby syndrome. The maximal incidence of intraretinal hemorrhage in children with nonabuse intracranial hemorrhage is 8%.
DESIGN: Prospective, observational case series.
PARTICIPANTS: Fifty-seven consecutive children with known intracranial hemorrhage from nonabuse causes.
METHODS: Dilated fundus examination to detect intraretinal hemorrhages or other abnormalities.
MAIN OUTCOME MEASURES: Presence or absence of intraretinal hemorrhages or other abnormalities.
RESULTS: Fifty-five patients (96%) had no evidence of intraretinal or vitreous hemorrhage. Two patients had abnormal retinal examinations. One patient had a single dot hemorrhage associated with presumed infectious white retinal lesions. The second patient had three flame and two deeper dot intraretinal hemorrhages after a motor vehicle accident (1.5% incidence of retinal hemorrhage).
CONCLUSIONS: Retinal hemorrhage is uncommon in children with intracranial hemorrhage not resulting from shaken baby syndrome. The maximal incidence of intraretinal hemorrhage in children with nonabuse intracranial hemorrhage is 8%.