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Do retinal hemorrhages occur in infants with convulsions?
  1. Ana Isabel Curcoy (acurcoy{at}hsjdbcn.org)
  1. Hospital Sant Joan de Déu, Spain
    1. Victoria Trenchs (vtrenchs{at}hsjdbcn.org)
    1. Hospital Sant Joan de Déu, Spain
      1. Marta Morales (mmorales{at}hsjdbcn.org)
      1. Hospital Sant Joan de Déu, Spain
        1. Alicia Serra (aserra{at}hsjdbcn.org)
        1. Hospital Sant Joan de Déu, Spain
          1. Mercè Pineda (mpineda{at}hsjdbcn.org)
          1. Hospital Sant Joan de Déu, Spain
            1. Jordi Pou (jpou{at}hsjdbcn.org)
            1. Hospital Sant Joan de Déu, Spain

              Abstract

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

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

              Results: 182 of 389 children seen in A+E were admitted and 2 were found to have retinal haemorrhages. Both children were eventually diagnosed of abuse.

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

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