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METHODS: One hundred sixteen patients admitted from 1987 to 1998 for subdural hematomas of the brain secondary to abuse were included.
RESULTS: The age of patients ranged from 2 to 48 months (mean - SD, 10.6 /- 10.4 months). Findings included subdural hematoma (70 children, 93%), cerebral edema (33 children, 44%), subarachnoid hemorrhage (12 children, 16%), vascular infarction (nine children, 12%), intraparenchymal blood (six children, 8%), parenchymal contusion (six children, 8%), and epidural hemorrhage (one child, 1%).
A 12-year ophthalmologic experience with the shaken baby syndrome at a regional children's hospital. Department of Ophthalmology, Medical College of Wisconsin, Milwaukee, USA.
PURPOSE: To examine the ophthalmologic experience with the shaken baby syndrome (SBS) at one medical center, including clinical findings, autopsy findings, and the visual outcome of survivors.
As detailed below, accidental falls were the only observed cause of these symptoms. [Retinal hemorrhage in the infant as an indication of shaken baby trauma] Schmidt US, Mittelviefhaus K, Hansen LL. BACKGROUND: The shaken baby syndrome is a form of child abuse in young children. Intraocular bleeding is a major diagnostic sign and can prove the diagnosis, if child abuse is suspected by the paediatrician.
Typical are intracranial and intraocular bleedings. Thus critical family situations can be uncovered and long term help can be initiated.
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Retinal and epiretinal haemorrhages can indicate non-accidental injuries.