So let me get this straight , only sbs or trauma can cause retinol hemorages weird I thought cpr in infants may be one cause , in addition to vaccinations trauma from birth and seizures and wouldn't there always be evidence in the brain and eyes of trauma hemorages and bilateral hemotomas and if there is not lasting eveidence of trauma when does it become no longer visable in mris and at the eye doc?
Geej--I live in Nashville and we had a well-publicized case involving a physician and her military husband being accused of "shaken-baby syndrome." The couple was able to afford a very good legal defense--Johnny Cochran (O.J. Simpson case). Actually, his services were really not necessary because the baby suffered from a rare, congenital gastrointestinal/liver disorder that caused him to bleed easily. The parents did not achieve immediate results in their quest to get their child returned and their name cleared, but it did happen over time. I cannot think of the name of the couple, but the case was against Vanderbilt Medical Center. It occurred at least a year ago. I hope that helps and I hope and pray that you are correct in assuming that your cousin is totally innocent of the accusations against them.
Carlos, I'm not a doctor. But I'm wondering whether anyone has considered that the baby's sibling might have caused the shaken baby syndrome? Perhaps the toddler had access to the baby while he was in a Jolly Jumper or something similar?
I also wonder whether the baby should be checked for a bleeding disorder or for juvenile macular degeneration (congenital). Perhaps there is something going on here besides shaken baby syndrome. As well as an attorney, I think your cousin should try to consult a leading pediatric neuro-opthalmologist and perhaps a hematologist. Good luck!
what is the differential diagnosis of the retinal findings, in the absence of previous broken bones or bruises? just curious.
i know that sometimes bleeding disorders can present in much the same way as physical abuse because of the bruising. but are there conditions which mimic the retinal findings in shaken baby syndrome?
thanks for this wonderful forum
carlos from kansas
what is the differential diagnosis of the retinal findings, in the absence of previous broken bones or bruises? just curious.
i know that sometimes bleeding disorders can present in much the same way as physical abuse because of the bruising. but are there conditions which mimic the retinal findings in shaken baby syndrome?
thanks for this wonderful forum
carlos from kansas
Dear Carlos:
Actually the only differential diagnosis is accidental injury and rotational forces they incur. The retinal and optic nerve sheath hemorrhages are not found in stroke.
CCF Neuro MD
Dear Carlos:
Actually the only differential diagnosis is accidental injury and rotational forces they incur. The retinal and optic nerve sheath hemorrhages are not found in stroke.
CCF Neuro MD
There are no bruises or broken bones. No signs of trauma.
Dear Geej:
Sorry to hear about your cousin's child. Actually, the difference between a stroke and shaken baby syndrome is distinct enough that it would likely not be mixed up. A stroke could not give a baby retinal findings, as these only occur through trauma. This would be especially true if there was evidence from previous broken bones or bruises in areas not exposed to trauma.
Sincerely,
CCF Neuro MD