Shaken baby syndrome

Vertical sensory nystagmus associated with intraocular haemorrhages in the shaken baby syndrome

“…1 These children typically have intracranial and intraocular haemorrhages. 2 Survivors may demonstrate a variety of neurological, intellectual, and ocular motility sequelae. 2 We present a case of vertical nystagmus following a shaking injury in an infant.…”

“…These children typically have subdural or subarachnoid intracranial haemorrhage visible on neuroimaging. 2 Intraocular haemorrhages are common following injuries occurring in at least 80% of cases, usually bilaterally. 2 The injuries are fatal in nearly one-third of the children.…”

“…2 Intraocular haemorrhages are common following injuries occurring in at least 80% of cases, usually bilaterally. 2 The injuries are fatal in nearly one-third of the children. 2 Approximately 20% of survivors have reduced vision that is usually cortical in origin and highly correlated with severe neurologic outcome.…”

“…2 The injuries are fatal in nearly one-third of the children. 2 Approximately 20% of survivors have reduced vision that is usually cortical in origin and highly correlated with severe neurologic outcome. Poor vision may sometimes, however, result from anterior pathway injuries such as optic atrophy or vitreous haemorrhage.…”

“…Poor vision may sometimes, however, result from anterior pathway injuries such as optic atrophy or vitreous haemorrhage. 2 Sensory nystagmus results from bilateral anterior visual pathway disease, in this case intraocular haemorrhages, whereas cortical visual loss typically does not cause sensory nystagmus. Sensory nystagmus is Vertical sensory nystagmus A Mulvhill and R Buncic usually horizontal or rotary, but may sometimes be vertical.…”