Retinal hemorrhage pattern can predict inflicted brain injury

October 9, 2012
Retinal hemorrhage pattern can predict inflicted brain injury
In children under the age of 3, a high dot-blot count for retinal hemorrhages is a strong predictor of inflicted traumatic brain injury rather than accidental traumatic brain injury, according to research published online Oct. 8 in Pediatrics.

(HealthDay)—In children under the age of 3, a high dot-blot count for retinal hemorrhages (RHs) is a strong predictor of inflicted traumatic brain injury (ITBI) rather than accidental traumatic brain injury (ATBI), according to research published online Oct. 8 in Pediatrics.

Robert A. Minns, M.B., B.S., Ph.D., of the Royal Hospital for Sick Children in Edinburgh, U.K., and colleagues conducted a six-year, observational, prospective study involving 114 infants and young children admitted to the unit with traumatic and nontraumatic encephalopathies. The authors sought to evaluate whether RHs, observed using wide-field retinal imaging within 24 hours, could be used to reliably distinguish between ITBI and ATBI.

The researchers noted significant differences in the average number of RHs as well as in their location and depth. RHs associated with ATBI were near the optic disc and more superficial than those in ITBI. In contrast, RH due to ITBI tended to be more peripheral and involve deeper layers. In children under the age of 3 years with greater than 25 dot-blot (intraretinal) hemorrhages, the for ITBI was 93 percent.

"This article presents the first prospective study with objectively measured RHs from all possible etiologies in children and predicts inflicted brain injury from certain RH characteristics alone," the authors write.

Explore further: Disability caused by traumatic brain injury in children may persist and stop improving after 2 years

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

Disability caused by traumatic brain injury in children may persist and stop improving after 2 years

September 18, 2012
A child who suffers a moderate or severe traumatic brain injury (TBI) may still have substantial functional disabilities and reduced quality of life 2 years after the injury. After those first 2 years, further improvement ...

Outcomes for children after brain injury difficult to predict and highly variable

June 18, 2012
Outcomes for children with brain injury acquired during childhood are difficult to predict and vary significantly, states an analysis of evidence on the topic published in CMAJ (Canadian Medical Association Journal).

Risk factors predictive of psychiatric symptoms after traumatic brain injury

July 12, 2011
A history of psychiatric illness such as depression or anxiety before a traumatic brain injury (TBI), together with other risk factors, are strongly predictive of post-TBI psychiatric disorders, according to an article published ...

Spinal bleeding with brain injury may suggest abuse in young children

November 8, 2011
A new study found that spinal bleeding is found often in young children who are victims of abusive trauma. The findings support performing complete spine imaging for children undergoing brain magnetic resonance imaging (MRI) ...

Recommended for you

Economist outlines reforms to improve access to affordable, high quality child care

October 22, 2017
For families in the U.S., the costs of high-quality child care are exorbitant, especially for those with children under age five. A new policy proposal, "Public Investments in Child Care," by Dartmouth Associate Professor ...

Is rushing your child to the ER the right response?

October 16, 2017
If a child gets a small burn from a hot pan, starts choking or swallows medication, parents may struggle to decide whether to provide first aid at home or rush them to the hospital, suggests a new national poll.

Happier mealtimes, healthier eating for kids

October 13, 2017
(HealthDay)—Parents who struggle to get their children to follow a healthy diet may want to make dinnertime a pleasant experience, new research suggests.

Children born prematurely have greater risk of cognitive difficulties later in life

October 11, 2017
Babies born preterm have a greater risk of developing cognitive, motor and behavioural difficulties and these problems persist throughout school years, finds a new study led by Queen Mary University of London (QMUL).

Helping preemies avoid unnecessary antibiotics

October 5, 2017
(HealthDay)—Researchers say they have identified three criteria that suggest an extremely premature infant has a low risk of developing sepsis, which might allow doctors to spare these babies early exposure to antibiotics.

Got a picky eater? How 'nature and nurture' may be influencing eating behavior in young children

October 3, 2017
For most preschool-age children, picky eating is just a normal part of growing up. But for others, behaviors such as insisting on only eating their favorite food item—think chicken nuggets at every meal—or refusing to ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.