2023
DOI: 10.1371/journal.pone.0283297
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Correlations of intracranial pathology and cause of head injury with retinal hemorrhage in infants and toddlers: A multicenter, retrospective study by the J-HITs (Japanese Head injury of Infants and Toddlers study) group

Abstract: Introduction In infants who have suffered head trauma there are two possible explanations for retinal hemorrhage (RH): direct vitreous shaking and occurrence in association with intracranial lesions. Which possibility is more plausible was examined. Material and methods This multicenter, retrospective study reviewed the clinical records of children younger than four years with head trauma who had been diagnosed with any findings on head computed tomography (CT) and/or magnetic resonance imaging (MRI). Of 452… Show more

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Cited by 5 publications
(6 citation statements)
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References 26 publications
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“…They are associated with cerebral oedema and SDH, which was found in 97.6% of infants with retinal haemorrhages. 28 These studies confirm traditional teaching that retinal haemorrhages are 'pathognomonic' of SDH. 29 Thiblin et al found that all infants with bilateral retinal haemorrhage had intracranial pathology, usually extracerebral fluid collections; conversely only 2 of 27 infants, witnessed or spontaneously admitted to have been shaken, had retinal haemorrhages.…”
Section: Retinal Haemorrhagessupporting
confidence: 75%
See 1 more Smart Citation
“…They are associated with cerebral oedema and SDH, which was found in 97.6% of infants with retinal haemorrhages. 28 These studies confirm traditional teaching that retinal haemorrhages are 'pathognomonic' of SDH. 29 Thiblin et al found that all infants with bilateral retinal haemorrhage had intracranial pathology, usually extracerebral fluid collections; conversely only 2 of 27 infants, witnessed or spontaneously admitted to have been shaken, had retinal haemorrhages.…”
Section: Retinal Haemorrhagessupporting
confidence: 75%
“…The tenor of the debate is reflected in an academic review of a paper challenging the hypothesis saying ‘X's study can be discounted. He's a lousy and dishonest researcher’ 52 and an invited review of a proposal for a textbook on SBS stated ‘because I am of an opinion opposite to the authors’ I consider it dangerous to publish such contents, which can do a lot of harm’. Despite this review, the book has just been published 53 …”
Section: Rancourmentioning
confidence: 99%
“…Low level falls onto the occiput have been associated with extensive RHs and SDH. 6 , 11 It is of note that most babies in the Atkinson series, like the present case, had large heads circumference (>90th percentile).…”
Section: Discussionsupporting
confidence: 50%
“…Since the seminal publication of Plunket, 1 case studies 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 have continued to demonstrate that short falls can cause subdural hemorrhages (SDH) and extensive retinal hemorrhages (RH). While cases with independently witnessed short falls are important sources of evidence, falls caught on video are even more compelling.…”
Section: Introductionmentioning
confidence: 99%
“…The exact pathophysiology of AHT-associated injuries is still under investigation. A fundamental role seems to be assumed by injuries affecting the meningeal vessels and the arachnoid with the production of subdural lesions consisting of blood, blood derivatives, and collections of cerebrospinal fluid [13][14][15]. The main mechanism is therefore the rupture of the bridging vein vessels through acceleration, deceleration, and angular rotation movements due to head shaking.…”
Section: Pathophysiology Of Ahtmentioning
confidence: 99%