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26 cm fall caught on video causing subdural hemorrhages and extensive retinal hemorrhages in an 8-month-old infant

Chris Brook1, Waney Squier2, Julie Mack3

  • 1Universidad de La Laguna, Avda. Astrofísico Fco. Sánchez La Laguna Spain.

Clinical Case Reports
|June 27, 2024
PubMed

Insights

Short falls can cause severe retinal hemorrhages (RH) in infants, mimicking abusive head trauma. A videotaped fall from 26cm onto the occiput resulted in extensive RH and subdural hemorrhages.

Area of Science:

  • Pediatrics
  • Ophthalmology
  • Forensic Medicine

Background:

  • Retinal hemorrhages (RH) in infants are often linked to abusive head trauma.
  • However, RH can also result from accidental injuries, such as short falls.

Observation:

  • An 8-month-old infant experienced a fall from 26cm, landing on his buttocks and then his occiput.
  • The fall was captured on video, documenting the impact on a vinyl floor.

Findings:

  • The infant presented with acute subdural hemorrhages.
  • Extensive, "too many to count" intra-retinal hemorrhages were observed in both eyes.

Implications:

  • This case highlights that falls from low heights onto the occiput can cause severe retinal hemorrhages.
  • Such findings can be mistaken for signs of abusive head trauma, emphasizing the need for careful injury assessment.

Keywords:
abusive head traumaretinal hemorrhagesshaken baby syndromeshort falls

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