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Patterns of retinal hemorrhage associated with pediatric cerebral sinovenous thrombosis

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dc.contributor.author Binenbaum, G., Reid, J. E., Rogers, D. L., Jensen, A. K., Billinghurst, L. L., & Forbes, B. J.
dc.date.accessioned 2017-06-01T17:10:29Z
dc.date.available 2017-06-01T17:10:29Z
dc.date.issued 2017
dc.identifier.citation Binenbaum, G., Reid, J. E., Rogers, D. L., Jensen, A. K., Billinghurst, L. L., & Forbes, B. J. (2017). Patterns of retinal hemorrhage associated with pediatric cerebral sinovenous thrombosis. Journal of American Association for Pediatric Ophthalmology and Strabismus, 21(1), 23-27. en_US
dc.identifier.uri http://www.jaapos.org/article/S1091-8531(17)30011-3/pdf
dc.identifier.uri http://hdl.handle.net/11212/3359
dc.description.abstract Background: Cerebral sinovenous thrombosis (CSVT) has been proposed as an alternative cause of retinal hemorrhage (RH) in children being evaluated for abusive head trauma. This study investigated the prevalence and characteristics of RH in children with CSVT. Methods: The medical records of children >6 weeks of age with newly diagnosed CSVT and fundus examination by an ophthalmologist were examined retrospectively. Primary outcomes were presence and patterns of RH. Results: A total of 29 children (median age, 9 years; range, 7 weeks to 17 years) were studied. Of these, 5 (17%) had RH, in 4 of whom RH were peripapillary, superficial, intraretinal, and adjacent to a swollen optic disk. In the fifth child, who had meningitis, sepsis, and multiple cerebral infarcts, there were a moderate number of posterior pole intraretinal hemorrhages. Eighteen children (62%) had optic disk swelling. In 13 children, cerebrospinal fluid opening pressure was recorded (range, 27–59 cm H2O). CSVT risk factors included meningitis, mastoiditis, and hypercoagulability. Conclusions: RH in pediatric CSVT was uncommon. When RHs were present, the appearance matched RH patterns known to be caused by medical conditions, such as raised intracranial pressure and sepsis, also present in these children. These findings suggest that the RHs are due to these other causes and not directly to CSVT itself. In children with CSVT, if RHs are multilayered, extend beyond the peripapillary region into the rest of the posterior pole or retinal periphery, or occur in the absence of optic disk swelling, another etiology for the RH should be sought. (Author Abstract) en_US
dc.language.iso en en_US
dc.publisher Journal of American Association for Pediatric Ophthalmology and Strabismus en_US
dc.subject child abuse en_US
dc.subject head injury en_US
dc.subject diagnosis en_US
dc.subject ocular en_US
dc.subject signs en_US
dc.subject research en_US
dc.title Patterns of retinal hemorrhage associated with pediatric cerebral sinovenous thrombosis en_US
dc.type Article en_US


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