A case of shaken baby syndrome with unilateral retinal hemorrhage with no associated intracranial hemorrhage.

摘要

Inflicted head injury causes significant morbidity in infancy and early childhood and is the most common cause of traumatic death in infancy . Shaken baby syndrome (SBS) is a form of child abuse that is associated with a particular constellation of injuries: subdural/subarachnoid hemorrhages, retinal hemorrhages (RHs), and occult skeletal fractures. Patients frequently present with altered level of consciousness, coma, seizure, listlessness/lethargy, irritability, apnea or respiratory difficulty, and poor feeding. Although not pathognomonic for child abuse, RHs occur in up to 75% to 85% of these cases and frequently correspond with subdural or subarachnoid bleeding [2,3]. Unilateral RH is much less common, but is just as suggestive of SBS.