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- W2083503844 abstract "In 1974 Caffey reported the features of the shaken baby syndrome, describing the relative lack of external signs of injury to the head and neck in infants who have intracranial and retinal haemorrhages. 1 Subsequent studies have confirmed the importance of the presence of retinal haemorrhages in helping to establish a diagnosis of the shaken baby syndrome? -6 Ophthalmologists may be asked to examine possible victims of the shaken baby syndrome to determine the presence, type and extent of retinal haemorrhages as well as any associated ocular findings. In addition, they may be asked to comment on possible mechanisms that gave rise to the haemorrhages. The shaken baby syndrome tends to occur in infants and younger children, typically under the age of 3 years. 7 The higher rate of shaken baby syndrome in infants, as compared to older children, has been explained by the greater head to body size, and less developed neck musculature in infants, which allows for a greater whiplash effect during shaking. Older children will more likely show a pattern of recurrent and habitual abuse, which may result in various injuries in different stages of healing. 80lver & Hague have found that 4/133 children with traumatic injuries who presented to an ophthalmologic emergency room in the UK were mistreated, 9 and so the ophthalmologist may be responsible for being the first to recognize abuse. 7 Studies on humans and primates concluded that severe head injuries commonly diagnosed as shaking injuries require some impact to occur and that shaking alone in an otherwise normal baby is unlikely to cause the shaken baby syndrome. I° Postulated mechanisms of retinal haemorrhage production are via acceleration/deceleration forces alone owing to" @default.
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- W2083503844 date "1999-06-01" @default.
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- W2083503844 title "An ophthalmological view of retinal haemorrhages in shaken babies" @default.
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- W2083503844 doi "https://doi.org/10.1016/s1353-1131(99)90202-x" @default.
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