Abstract
The prevalence of retinal hemorrhages in infants presenting with convulsions was studied at Hospital Universitari Sant Joan de Deu, Barcelona, Spain.
Highlights
One child was found with unilateral retinal hemorrhages following a simple febrile convulsion
It was concluded that retinal hemorrhages following a convulsive episode are rare and should trigger a search for other causes, including child abuse. (Mei-Zahav M et al Convulsions and retinal hemorrhages: should we look further? Arch Dis Child 2002;86(5):334-335)
Long bone fractures and subdural hematoma were associated in one case of shaken baby syndrome, and cerebral edema in case 2 was presumed to be the result of child abuse
Summary
The electroencephalogram is indispensable in the distinction of nonepileptic paroxysmal disorders from epileptic seizures and in the diagnosis of nonconvulsive status epilepticus and an encephalopathic process. Perils, and pitfalls in the use of the electroencephalogram. Outcome of opsoclonus-myoclonus studied in 11 patients at Children’s Memorial Hospital, Chicago found that 9 of 10 treated with ACTH had recurrence of symptoms during a gradual withdrawal of ACTH; prednisone in one patient was ineffective in controlling opsoclonus-myoclonus. Eight had developmental delay with motor incoordination and speech delay (7 with neuroblastoma and 1 without). One of 8 with tumor and 2 of 3 with no tumor had normal neurologic development.
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