Perimacular retinal folds from childhood head trauma

According to investigators, the family home was 7.8 km from the workplace and about 6 km from the local hospital. Perimacular retinal folds are associated with increased neurological morbidity and mortality in infants and children with abusive head injuries. 6 The reported incidence of perimacular r...

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Bibliographic Details
Published in:BMJ 2004-03, Vol.328 (7442), p.754-756
Main Authors: Lantz, P E, Sinal, S H, Stanton, C A, Weaver, R G
Format: Article
Language:English
Subjects:
Autopsy
Babies
Child
Child abuse & neglect
Child Abuse - diagnosis
Children & youth
Clinical Review
Craniocerebral Trauma - etiology
Craniocerebral Trauma - pathology
Evidence-Based Medicine
Fractures
Head injuries
Humans
Male
Retinal Diseases - etiology
Retinal Diseases - pathology
Trauma
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Summary:According to investigators, the family home was 7.8 km from the workplace and about 6 km from the local hospital. Perimacular retinal folds are associated with increased neurological morbidity and mortality in infants and children with abusive head injuries. 6 The reported incidence of perimacular retinal folds in shaken baby syndrome varies from 6% in a consecutive clinical case series to 50% in a sequential autopsy case series. 5 12 Clinical and autopsy studies with appropriately matched controls are needed to determine the causal mechanism of perimacular retinal folds and their specificity for abusive head injury. [...]good evidence is available, we urge caution in interpreting eye findings out of context.
ISSN:0959-8138
1468-5833
1756-1833
DOI:10.1136/bmj.328.7442.754