Title

Retinal Findings in Children with Intracranial Hemorrhage

Document Type

Article

Publication Date

8-2002

Abstract

PURPOSE:

To identify the incidence of Terson's syndrome in children.

DESIGN:

Prospective, observational case series.

PARTICIPANTS:

Fifty-seven consecutive children with known intracranial hemorrhage from nonabuse causes.

METHODS:

Dilated fundus examination to detect intraretinal hemorrhages or other abnormalities.

MAIN OUTCOME MEASURES:

Presence or absence of intraretinal hemorrhages or other abnormalities.

RESULTS:

Fifty-five patients (96%) had no evidence of intraretinal or vitreous hemorrhage. Two patients had abnormal retinal examinations. One patient had a single dot hemorrhage associated with presumed infectious white retinal lesions. The second patient had three flame and two deeper dot intraretinal hemorrhages after a motor vehicle accident (1.5% incidence of retinal hemorrhage).

CONCLUSIONS:

Retinal hemorrhage is uncommon in children with intracranial hemorrhage not resulting from shaken baby syndrome. The maximal incidence of intraretinal hemorrhage in children with nonabuse intracranial hemorrhage is 8%.