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Retinal haemorrhages and convulsions
S Sandramouli1, R Robinson, M Tsaloumas
1Birmingham Children's Hospital, NHS Trust, Ladywood.
Archives of Disease in Childhood
|May 1, 1997
Summary
Retinal haemorrhages are rare in children following convulsions. This study found no cases, suggesting further investigation is needed if haemorrhages are present, potentially indicating non-accidental injury.
Area of Science:
- Pediatric Neurology
- Ophthalmology
Background:
- Retinal haemorrhages are a concern in pediatric neurology.
- The link between convulsions and retinal haemorrhages requires clarification.
Purpose of the Study:
- To determine the incidence of retinal haemorrhages in children after convulsive episodes.
Main Methods:
- A cohort of children admitted to the hospital post-convulsions was studied.
- Neurological and ocular examinations, including ophthalmoscopy, were performed within 48 hours of admission.
Main Results:
- Thirty-three children underwent examination and seizure classification.
- None of the children developed retinal haemorrhages, even with concurrent events like vomiting or resuscitation.
Conclusions:
- Convulsions are an unlikely cause of retinal haemorrhages in children.
- The presence of retinal haemorrhages necessitates a thorough evaluation for non-accidental injury.