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Retinal findings in children with intracranial hemorrhage

Susan Schloff1, Paul B Mullaney, Derek C Armstrong

  • 1Department of Ophthalmology, The Hospital for Sick Children, University of Toronto, Ontario, Canada.

Ophthalmology
|August 3, 2002
PubMed

Insights

Terson's syndrome is rare in children with intracranial hemorrhage from non-abuse causes. This study found a maximal incidence of 8% for intraretinal hemorrhage in pediatric patients.

Area of Science:

  • Ophthalmology
  • Pediatric Neurology
  • Trauma Care

Background:

  • Terson's syndrome, characterized by intraretinal or vitreous hemorrhage, is associated with intracranial hemorrhage.
  • The incidence of Terson's syndrome in pediatric populations, particularly from non-traumatic intracranial events, requires further elucidation.

Observation:

  • A prospective, observational case series included 57 children with intracranial hemorrhage from non-abuse etiologies.
  • Fundus examinations were performed to detect retinal abnormalities.

Findings:

  • Only two patients (3.5%) exhibited retinal hemorrhages; one had a single dot hemorrhage with infectious lesions, and the other had multiple intraretinal hemorrhages post-motor vehicle accident.
  • The incidence of intraretinal hemorrhage in this cohort was 1.5%, with a maximal estimated incidence of 8% for non-abuse intracranial hemorrhage in children.

Implications:

  • Retinal hemorrhages are infrequent in pediatric intracranial hemorrhage cases not caused by abuse or shaken baby syndrome.
  • These findings suggest that Terson's syndrome is uncommon in children experiencing intracranial bleeding from non-accidental trauma, aiding in differential diagnosis.
Abstract

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