A Case of Shaken Baby Syndrome Without External Signs of Trauma.

You, Young Cheol; Kim, Chan Yun; Park, In Won

Case Report

Journal of the Korean Ophthalmological Society 2002;43(6):1108-1112.
Published online June 1, 2002.

A Case of Shaken Baby Syndrome Without External Signs of Trauma.

Young Cheol You, Chan Yun Kim, In Won Park

¹Department of Ophthalmology, Hallym University Sacred Heart Hospital, Anyang, Korea. piw@korea.com
²Department of Ophthalmology, Yonsei University College Medicine, Seoul, Korea.

외상의 외적 징후 없이 발생한 흔들린 아이 증후군 1례

유영철 ( Young Cheol You ) , 김찬윤 ( Chan Yun Kim ) , 박인원 ( In Won Park )

Abstract

PURPOSE
Shaken baby syndrome (SBS) can be developed by shaking a baby violently as a serious form of child abuse. It is found frequently among babies younger than two years old, particularly less than six months old. The syndrome is hardly diagnosed because it is found when the parents or baby-sitters tend to disguise the intention of abuse. The authors have experienced a case of shaken baby syndrome in 3 months old infant without the external signs of trauma and we herein report a case of SBS with a review of related literatures. METHODS: Three months old female infant was admitted for convulsion without fever. Magnetic resonance imaging showed subdural hemorrhage and funduscopic examination showed bilateral retinal hemorrhage. CONCLUSIONS: Ocular examination including funduscopy is important because SBS is difficult to be diagnosed. Ophthalmologist may play an important role in the diagnosis of this syndrome.

Key Words: Retinal hemorrhage;Subdural hemorrhage;Child abuse;Shaken baby syndrome