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Do retinal haemorrhages occur in infants with convulsions?
  1. A I Curcoy1,
  2. V Trenchs1,
  3. M Morales2,
  4. A Serra2,
  5. M Pineda3,
  6. J Pou1
  1. 1
    Pediatrics Department, Hospital Universitari Sant Joan de Déu, Barcelona, Spain
  2. 2
    Ophthalmology Department, Hospital Universitari Sant Joan de Déu, Barcelona, Spain
  3. 3
    Neurology Department, Hospital Universitari Sant Joan de Déu, Barcelona, Spain
  1. Correspondence to Dr Ana Isabel Curcoy, Passeig Sant Joan de Déu, 2, 08950 Esplugues de Llobregat, Barcelona, Spain; acurcoy{at}hsjdbcn.org

Abstract

Aim: To determine the prevalence of retinal haemorrhages in infants presenting with convulsions and admitted to hospital, and to consider whether this finding indicates shaken baby syndrome.

Methods: Prospective study of children aged 15 days to 2 years admitted with a diagnosis of first convulsion over a 2-year period (May 2004–May 2006). All infants were examined by an experienced ophthalmologist using indirect ophthalmoscopy within 72 h of admission.

Results: 182 of 389 children seen in the accident and emergency department were admitted and two were found to have retinal haemorrhages. Both children were eventually diagnosed as being abused.

Conclusions: Convulsions alone are unlikely to cause retinal haemorrhages in children under 2 years of age.

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Footnotes

  • Competing interests None.

  • Provenance and Peer review not commissioned; externally peer reviewed.

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