Case Report/Case Series
Journal Club
November 2013

Shaken Adult SyndromeReport of 2 Cases

Journal Club PowerPoint Slide Download
Author Affiliations
  • 1Department of Ophthalmology and Visual Sciences, University of Wisconsin, Madison
  • 2Ophthalmic Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  • 4McPherson Eye Research Institute, University of Wisconsin, Madison
  • 3Department of Pathology and Laboratory Medicine, University of Wisconsin, Madison

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JAMA Ophthalmol. 2013;131(11):1468-1470. doi:10.1001/jamaophthalmol.2013.5073

Importance  To establish that the intracranial and ophthalmologic findings present in victims of abusive head trauma can also be seen in shaken adults.

Observations  We report 2 cases of shaken adults with intracranial and ophthalmologic findings that resulted from repetitive acceleration-deceleration injury. These findings included intracranial hemorrhages, hemorrhages involving the optic nerve sheath, intraretinal and subretinal hemorrhages, and macular folds.

Conclusions and Relevance  The intracranial and ophthalmologic findings that are characteristic of abusive head trauma—subdural hemorrhages, optic nerve sheath hemorrhages, and retinal hemorrhages—are generally thought to be limited to young children and infants. Adults may also be victims of shaking abuse, and an ophthalmic examination may be beneficial when shaking is suspected.