BMJ  2004;328:754-756 (27 March), doi:10.1136/bmj.328.7442.754

Clinical review

Evidence based case report

Perimacular retinal folds from childhood head trauma

¹ Department of Pathology, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA, ² Department of Paediatrics, Wake Forest University School of Medicine, ³ Department of Ophthalmology, Wake Forest University School of Medicine

The first 150 words of the full text of this article appear below.

Introduction

A previously healthy 14 month old child was transferred to our medical centre with a severe head injury. The father had collected the boy and his 3 year old brother from their mother at his workplace car park and taken them home while their mother went to work. The children had been watching television while the father prepared dinner. After hearing something fall, the father found the boy on the floor with the television covering the right side of the head and anterior chest. A homemade television stand was partially across the child's lower legs. His older brother stated, "television fell." As soon as the father removed the television, he noticed the child's head beginning to swell. A neighbour drove them to the local hospital. According to the father and the neighbour, the child never stopped breathing and no resuscitative efforts were attempted.

Cranial computed tomography showed extensive head injuries. . . . [Full text of this article]

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