Retinal hemorrhage predicts neurologic injury in the shaken baby syndrome.
Retinal hemorrhage predicts neurologic injury in the shaken baby syndrome.
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视网膜出血预示着摇晃婴儿综合症的神经损伤。
DOI：
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发表时间：
1989
期刊：
影响因子：
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通讯作者：
C. L. Owings
中科院分区：
文献类型：
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作者：
W. S. Wilkinson;Dennis P. Han;M. Rappley;C. L. Owings
摇晃婴儿综合征包括在没有直接创伤迹象的持续鞭打/摇晃损伤的婴儿颅内和眼内出血。我们评估了1983年8月至1988年3月期间在安娜堡的密歇根大学医院连续出现的14例疑似摇晃婴儿综合征的病例，以确定视网膜出血的严重程度是否可以预测急性神经损伤的严重程度。视网膜出血的严重程度取决于出血的类型、大小和受累眼底的程度。我们发现视网膜出血严重程度与急性神经学表现之间存在显著相关性。弥漫性眼底受累、玻璃体出血或大的玻璃体下出血与更严重的急性神经损伤有关。
Shaken baby syndrome consists of intracranial and intraocular hemorrhage in the absence of signs of direct trauma in infants who have sustained whiplash/shaking injuries. We evaluated 14 consecutive cases of presumed shaken baby syndrome seen at the University of Michigan Hospitals, Ann Arbor, between August 1983 and March 1988, to determine if the severity of retinal hemorrhage was predictive of the severity of acute neurologic injury. The severity of retinal hemorrhage was based on the type and size of hemorrhage and the extent of fundus involvement. We found a significant correlation between retinal hemorrhage severity and acute neurologic findings. Diffuse fundus involvement, vitreous hemorrhage, or large subhyaloid hemorrhages were associated with more severe acute neurologic injury.