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Convulsions and retinal haemorrhage: should we look further?

M Mei-Zahav1, Y Uziel, J Raz

  • 1Division of Paediatric Emergency Medicine, Department of Paediatrics, Sapir Medical Center, Kfar Saba, Sackler School of Medicine, Tel Aviv University, Israel. meir.mei-zahav@sickkids.ca

Archives of Disease in Childhood
|April 24, 2002
PubMed

Insights

Retinal hemorrhages after convulsions are rare, occurring in only one child in this study. This finding necessitates a thorough investigation for underlying causes, including child abuse.

Area of Science:

  • Pediatric Ophthalmology
  • Neurology
  • Child Abuse Forensics

Background:

  • Retinal hemorrhages are often associated with child abuse.
  • The occurrence of retinal hemorrhages following convulsions is not well-established.

Purpose of the Study:

  • To determine the prevalence of retinal hemorrhages after convulsive episodes in children.
  • To assess whether retinal hemorrhages warrant further investigation for abuse or systemic disorders.

Main Methods:

  • A prospective study of 153 children (2 months to 2 years) presenting with convulsions.
  • Ophthalmological examination was performed after initial history and physical assessment.
  • Further investigations were conducted if retinal hemorrhages were detected.

Main Results:

  • One child presented with unilateral retinal hemorrhages after a simple febrile convulsion.
  • Extensive investigation ruled out other causes for the retinal hemorrhages in this case.

Conclusions:

  • Retinal hemorrhages following convulsive episodes are infrequent.
  • The presence of retinal hemorrhages necessitates a comprehensive workup to exclude child abuse and other underlying conditions.
Abstract

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