When a Funduscopic Examination is the Clue of Maltreatment Diagnostic

OBJECTIVE:To report a case of unexpected shaken baby syndrome, the diagnosis of which was possible after an incidental funduscopic examination. METHODS:Observational case report. An infant was to be sent back home with an apparent unprovoked seizure diagnosis when a funduscopic examination was made because of an incidental research study changing the diagnostic orientation. RESULTS:Extensive bilateral subretinal hemorrhages in the funduscopic examination allowed shaken baby syndrome unexpected diagnosis. A funduscopic examination is not usually included in the first seizure diagnosis management, even when a retinal bleeding could be present and be the clue for its causative diagnosis. CONCLUSION:We recommend having in mind the practice of a funduscopic examination in all children with a first apparently unprovoked seizure.