Retinal hemorrhages in patients with epidural hematomas

Brian J. Forbes, Matthew Cox, Cindy W. Christian

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Purpose: To present a series of infants found to have sparse retinal hemorrhages associated with isolated epidural hematomas. None of these infants had other intracranial or subdural hemorrhages present. Methods: Children less than 3 years of age admitted to an urban children's hospital between January 1998 and December 2002 with radiographic evidence of an isolated epidural hematoma at the time of presentation were eligible for this study. Results: During the time period of the study, 15 children were admitted with traumatic epidural hematomas. Nine patients had an ophthalmologic examination, of which five had evidence of sparse retinal hemorrhages. All five patients with retinal hemorrhages were less than 8 months of age and all required surgical evacuation of the epidural hematomas. Of the five patients with retinal hemorrhages, four were unilateral, one was bilateral, and in all cases, the retinal hemorrhages were superficial, few in number, and confined to the posterior pole. There were no deep retinal or subretinal hemorrhages present. The institutional child protection team evaluated all five patients with retinal hemorrhages and each case was felt to be consistent with the history provided and no history of shaking was elicited. Conclusions: We found sparse retinal hemorrhages in five of nine patients who presented to our hospital with isolated epidural hematomas and who had had an ophthalmologic examination. All nine patients were evaluated by the institutional child protection team, who did not feel that there was sufficient evidence to be suspicious of nonaccidental trauma.

Original languageEnglish (US)
Pages (from-to)177-180
Number of pages4
JournalJournal of AAPOS
Volume12
Issue number2
DOIs
StatePublished - Apr 2008

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Retinal Hemorrhage
Hematoma
Subdural Hematoma
Intracranial Hemorrhages
Urban Hospitals
History
Hemorrhage
Wounds and Injuries

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Retinal hemorrhages in patients with epidural hematomas. / Forbes, Brian J.; Cox, Matthew; Christian, Cindy W.

In: Journal of AAPOS, Vol. 12, No. 2, 04.2008, p. 177-180.

Research output: Contribution to journalArticle

Forbes, Brian J. ; Cox, Matthew ; Christian, Cindy W. / Retinal hemorrhages in patients with epidural hematomas. In: Journal of AAPOS. 2008 ; Vol. 12, No. 2. pp. 177-180.
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