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Shaken adult syndrome: report of 2 cases
Amir A Azari1, Mozhgan R Kanavi, Noah B Saipe
1Department of Ophthalmology and Visual Sciences, University of Wisconsin, Madison.
Importance:
To establish that the intracranial and ophthalmologic findings present in victims of abusive head trauma can also be seen in shaken adults.
Observations:
We report 2 cases of shaken adults with intracranial and ophthalmologic findings that resulted from repetitive acceleration-deceleration injury. These findings included intracranial hemorrhages, hemorrhages involving the optic nerve sheath, intraretinal and subretinal hemorrhages, and macular folds.
Conclusions And Relevance:
The intracranial and ophthalmologic findings that are characteristic of abusive head trauma--subdural hemorrhages, optic nerve sheath hemorrhages, and retinal hemorrhages--are generally thought to be limited to young children and infants. Adults may also be victims of shaking abuse, and an ophthalmic examination may be beneficial when shaking is suspected.
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