Hyponatremic seizures in infancy: Association with retinal hemorrhages and physical child abuse?

Scott D. Krugman, Joseph J. Zorc, Allen R. Walker

Research output: Contribution to journalArticle

Abstract

We present two cases of infants with hyponatremic seizures who had an unexpected finding of retinal hemorrhages. A review of file literature found no prior association between hyponatremic seizures and retinal hemorrhages. The retinal hemorrhages found in the first patient were a result of shaken baby syndrome (SBS) and associated with long bone fractures and a subdural hematoma. The second patient had retinal hemorrhages and cerebral edema, presumed to be a result of SBS. We suggest that children who become hyponatremic owing to neglect, lack of education, or intentional water poisoning may be at risk for other forms of child abuse. Additional research needs to be done to further elucidate the relationship between hyponatremic seizures and child abuse.

Original languageEnglish (US)
Pages (from-to)432-434
Number of pages3
JournalPediatric emergency care
Volume16
Issue number6
DOIs
StatePublished - Dec 28 2000

Keywords

  • Child abuse
  • Hyponatremia
  • Retinal hemorrhages
  • Seizures
  • Shaken baby syndrome

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Emergency Medicine

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