Navigation Links
Severe retinal hemorrhaging is linked to severe motor vehicle crashes
Date:6/23/2008

The severity of retinal hemorrhaging for young children in motor vehicle crashes is closely correlated to the severity of the crash, according to a new study by researchers at the Medical College of Wisconsin in Milwaukee. Retinal hemorrhages occur when the blood vessels lining the retina rupture, resulting in bleeding onto the surface of the retina.

The study, by Jane Kivlin, M.D., and Kenneth Simons, M.D., professors of ophthalmology at the Medical College, is published in the June issue of Archives of Ophthalmology.

"The severity of the retinal injuries is similar to that seen in nonaccidental childhood neurotrauma, or shaken baby syndrome," according to Dr. Kivlin, a pediatric ophthalmologist and lead author, who sees patients at Children's Hospital of Wisconsin. "Many perpetrators of shaken baby syndrome have confessed to violently shaking the child, subjecting the child to severe rotational force."

The retrospective study examined ten cases of children younger than three years taken from autopsies performed by the Milwaukee County medical examiner from January 1, 1994, to December 31, 2002. All patients died in motor vehicle crashes as passengers or pedestrians. They were subjected to extremely severe forces involving rapid deceleration with a rotational, or whiplash-like, component.

For each case, all available medical and autopsy records, including pathology slides, photographs, and police and traffic department records, were reviewed. All patients suffered severe head injuries in the accidents. Skull fractures were found in all but three patients. In six patients, improper restraints and direct blows were found to contribute to their injuries.

"These were all extremely high-force injury mechanisms that far exceed those involved in common or even uncommon household accidents," says Dr. Kivlin.

Of the ten cases, extensive retinal hemorrhages were found in eight patients, similar to the severe hemorrhages seen in shaken baby syndrome. Two patients had no signs of retinal hemorrhaging, but nine of the ten patients were found to have optic nerve sheath hemorrhages, which are also commonly found in shaken babies.

"Hemorrhages of this degree have rarely been reported in accidental trauma, even with skull fractures. But most of the reported patients did not die of their trauma. So we conclude that severe hemorrhages reflect severe trauma," says Dr. Kivlin.

"The association of extensive, sometimes severe, ocular hemorrhages with fatal accidental trauma, compared with previous reports of accidental trauma with no or few hemorrhages, indicates the severity of injury required to cause hemorrhages of this magnitude."


'/>"/>

Contact: Toranj Marphetia
toranj@mcw.edu
414-456-4700
Medical College of Wisconsin
Source:Eurekalert

Related medicine news :

1. High quality of life in spite of very severe disease
2. Evalve MitraClip: Clinical trial of nonsurgical repair for severe mitral valve regurgitation
3. Vusion Baby Bottom Line Report: Many Moms Dont Know that Their Babies Irritated Skin Could Indicate a Severe Diaper Rash that Requires Medical Treatment
4. Inexpensive Compound Could Treat Severe Diarrhea
5. Joint distraction promotes structural repair in patients with severe knee osteoarthritis
6. Rheumatoid arthritis factors equal to cardiovascular factors in risk of severe cardiovascular events
7. Ovarian function and fertility preserved in women with severe systemic lupus erythematosus
8. Lupus more severe in patients with Southern European ancestry
9. Combat Vets Display Severe Sleep Disorders
10. Two Drugs Show Promise Against Severe Constipation
11. Secondhand Smoke Leaves Kids Prone to Severe Infections
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:12/8/2016)... , ... December 08, 2016 , ... ... the Affordable Care Act. Dr. Botelho advocates for the mass media launching of ... gives people ongoing opportunities to share their unfortunate experiences; such a movement can ...
(Date:12/8/2016)... ... December 08, 2016 , ... ... services from offices headquartered in Jefferson County, is announcing the launch of a ... Birmingham. , The number of homeless women and children in Birmingham has grown ...
(Date:12/8/2016)... ... 08, 2016 , ... Coffey Agencies, a locally owned and ... in the northern Alabama and Georgia regions, is embarking on a charity drive ... has built a network of support and education facilities to develop and provide ...
(Date:12/7/2016)... ... December 07, 2016 , ... "Today, MHA ... most comprehensive mental health systems reform legislation in more than fifty years. We ... the commitment of our elected officials to improving mental health services and supports ...
(Date:12/7/2016)... LAKE CITY, UTAH (PRWEB) , ... December 07, ... ... productivity, today announced the release of Smart Device Remote Control through a new ... management across all platforms and strengthens its mobile solutions to help businesses maximize ...
Breaking Medicine News(10 mins):
(Date:12/8/2016)... , Dec. 8, 2016  A new study ... that the use of opioid therapy to treat chronic ... the likelihood of more harmful consequences, including death. ... M.D., and Zankhana Mehta , M.D., authored the ... on chronic opioid therapy. The study was published in ...
(Date:12/8/2016)... CAMBRIDGE, Mass. , Dec. 8, 2016 /PRNewswire/ ... that it has obtained proof-of-mechanism for neflamapimod (previously ... recently completed Phase 2a clinical trials that demonstrated ... from Study 302 (12-week treatment) and Study 303 ... the Clinical Trials in Alzheimer,s Disease (CTAD) scientific ...
(Date:12/8/2016)... 2016 Mederi Therapeutics Inc . hat die behördliche Zulassung ... für gastroösophageale Refluxerkrankung (GERD) – in China angekündigt. ... ... Live Stretta procedure performed and broadcast ... of Endoscopy at Wuhan Union Hospital ...
Breaking Medicine Technology: