Ophthalmological lesions in shaken baby syndrome: A retrospective analysis of 133 consecutive cases (1992–2018) - 04/06/22
Abstract |
Introduction |
Shaken Baby Syndrome (SBS) is a non-accidental head trauma in which shaking causes cranio-cerebral lesions. Shaking can lead to ophthalmologic lesions such as retinal hemorrhage (RH). The aim of the present study was to compare our long-term results in to the literature data.
Patients and Methods |
This study was a single-center retrospective descriptive analysis of 133 consecutive SBS cases (1992–2018). Only seniors in ophthalmology were authorized to perform these examinations. We studied type of lesion (retinal, intra-vitreal, papilledema), location (uni- or bi-lateral), and correlation with gender and age. Infants with a traumatic context without suspicion of child abuse were excluded.
Results |
Mean age at diagnosis was 131days (range, 14days–10months). Boys accounted for 72.2% of the population. The prevalence of ophthalmologic lesions was 70.3%. 94.4% were RH; intra-vitreous hemorrhage (6.7%) and papilledema (11.1%) were less frequent. Lesions were bilateral in 81.1% of cases. Retinal lesions were classified in terms of location. Macular involvement was diagnosed in 8.2% of cases. 18.8% of retinal lesions could not be classified because of lack of precision in the ophthalmology report. The prevalence of ophthalmic lesions was higher for children aged over 6months: 80%.
Conclusion |
This series highlighted a high rate of ophthalmic lesions in SBS, with a high rate of bilateral involvement. RH was the most frequent lesion. RH in a context of subdural hematoma is a strong argument in favor of SBS. The forensic implications are that rigorous ophthalmologic examination by a senior practitioner is mandatory.
Le texte complet de cet article est disponible en PDF.Keywords : Shaken baby syndrome, Ophthalmology, Papilledema, Retinal hemorrhage, Child abuse
Plan
Vol 68 - N° 4
P. 367-372 - juillet 2022 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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