This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

W. Scott Wilkinson, MD; Dennis P. Han, MD; Marsha D. Rappley, MD; Clyde L. Owings, MD

Arch Ophthalmol. 1989;107(10):1472-1474.

Abstract
• 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.

Author Affiliations
From the W. K. Kellogg Eye Center, Departments of Ophthalmology and Pediatrics, University of Michigan, Ann Arbor (Drs Wilkinson, Rappley, and Owings); and the Eye Institute, Medical College of Wisconsin, Milwaukee (Dr Han).

Footnotes
Accepted for publication June 12, 1989.

Reprint requests to the Eye Institute, Medical College of Wisconsin, 8700 W Wisconsin Ave, Milwaukee, WI 53226 (Dr Han).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Ocular Manifestations of Child Abuse
Elner
Arch Ophthalmol 2008;126:1141-1142.
FULL TEXT  

Macular hole in the shaken baby syndrome.
Ou et al.
Arch Ophthalmol 2006;124:913-915.
FULL TEXT  

Late Neurologic and Cognitive Sequelae of Inflicted Traumatic Brain Injury in Infancy
Barlow et al.
Pediatrics 2005;116:e174-e185.
ABSTRACT | FULL TEXT  

Neuroimaging of Intraparenchymal Lesions Predicts Outcome in Shaken Baby Syndrome
Bonnier et al.
Pediatrics 2003;112:808-814.
ABSTRACT | FULL TEXT  

Shaken Baby Syndrome: Rotational Cranial Injuries{---}Technical Report
Committee on Child Abuse and Neglect
Pediatrics 2001;108:206-210.
ABSTRACT | FULL TEXT  

Prognostic Indicators for Vision and Mortality in Shaken Baby Syndrome
McCabe and Donahue
Arch Ophthalmol 2000;118:373-377.
ABSTRACT | FULL TEXT  

Outcome after severe non-accidental head injury
Haviland and Russell
Arch. Dis. Child. 1997;77:504-507.
ABSTRACT | FULL TEXT  

Prevalence of Retinal Hemorrhages in Pediatric Patients After In-hospital Cardiopulmonary Resuscitation: A Prospective Study
Odom et al.
Pediatrics 1997;99:e3-e3.
ABSTRACT | FULL TEXT  

The Shaken Infant: A Military Connection?
Gessner and Runyan
Arch Pediatr Adolesc Med 1995;149:467-469.
ABSTRACT  

Subhyaloid Hemorrhage Illustrating a Mechanism of Macular Hole Formation-Reply
Nork et al.
Arch Ophthalmol 1992;110:598-598.
ABSTRACT  

Ocular and Associated Systemic Findings in Suspected Child Abuse: A Necropsy Study
Elner et al.
Arch Ophthalmol 1990;108:1094-1101.
ABSTRACT