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Ophthalmologe ; 117(10): 1033-1036, 2020 Oct.
Article in German | MEDLINE | ID: mdl-31996999

ABSTRACT

A 2.5-month-old boy and a 2-month-old girl were admitted to a pediatric intensive care unit with impaired consciousness. Both infants had subdural hemorrhages. Because of presumed non-accidental head injury (NAHI) funduscopy was performed, which revealed unilateral hemorrhage in both children. After intensive differential diagnostics NAHI was suspected in both cases and a forensic medical examination was initiated. This case series is important because it shows that unilateral retinal bleeding does not exclude NAHI.


Subject(s)
Child Abuse , Retinal Hemorrhage , Shaken Baby Syndrome , Child , Child Abuse/diagnosis , Diagnosis, Differential , Female , Hematoma, Subdural/diagnostic imaging , Humans , Infant , Male , Retinal Hemorrhage/diagnosis , Retinal Hemorrhage/etiology , Shaken Baby Syndrome/complications , Shaken Baby Syndrome/diagnosis
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