Giangiacomo J, Barkett K J
J Pediatr Ophthalmol Strabismus. 1985 Nov-Dec;22(6):234-7. doi: 10.3928/0191-3913-19851101-08.
Two previously healthy infants initially presented with vomiting and lethargy. There was a history of whiplash shaken infant syndrome in one infant, but neither child had external or skeletal survey evidence of abuse. However, ophthalmoscopy revealed bilateral retinal hemorrhages, papilledema and vitreous hemorrhage. Subdural aspirations revealed occult hematomas. Both children required ventricular peritoneal shunts to control intracranial pressure. Ophthalmologists, pediatricians, and primary physicians should be aware of the possibility of child abuse in the differential of diagnosis of Terson's syndrome, especially in infants since this may be the only physical finding.
两名此前健康的婴儿最初表现为呕吐和嗜睡。其中一名婴儿有挥鞭样摇晃婴儿综合征病史，但两个孩子均无虐待的外部或骨骼检查证据。然而，眼底镜检查发现双侧视网膜出血、视乳头水肿和玻璃体出血。硬膜下穿刺发现隐匿性血肿。两个孩子都需要进行脑室腹腔分流术来控制颅内压。眼科医生、儿科医生和初级医生在诊断特森综合征的鉴别诊断中应意识到虐待儿童的可能性，尤其是在婴儿中，因为这可能是唯一的体格检查发现。
