Saccadic intrusions in pediatric non-accidental trauma
1The Wilmer Eye Institute, Johns Hopkins School of Medicine, Baltimore, MD, USA.
American Journal of Ophthalmology Case Reports
|May 16, 2022
Summary
Ocular flutter, a rare eye movement disorder, can be an early indicator of non-accidental trauma in infants. Prompt neuroimaging is crucial for diagnosis and intervention in suspected child abuse cases.
Area of Science:
- Ophthalmology
- Pediatric Neurology
- Forensic Medicine
Background:
- Saccadic intrusions are abnormal eye movements that can be challenging to diagnose in infants.
- Non-accidental trauma (NAT) in children can manifest with subtle, non-specific signs.
Observation:
- A 9-month-old female presented with intermittent ocular flutter.
- Neuroimaging revealed bilateral subdural hematomas, mass effect, enhancement, and cortical vein thrombosis, raising suspicion for NAT.
Findings:
- The case highlights a rare association between ocular flutter and non-accidental trauma in an infant.
- The specific neuroimaging findings were critical in suspecting abusive head trauma.
Implications:
- Ocular flutter should be considered a potential presenting sign of NAT in pediatric patients.
- Early recognition and appropriate neuroimaging are vital for timely diagnosis and management of non-accidental trauma.
- This case underscores the importance of a multidisciplinary approach in evaluating suspected child abuse.
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