Abstract:
:A series of seven children in Hawaii experienced transient cortical blindness following mild head trauma. All children, ages 3 through 8, recovered fully. The most prominent clinical feature was initial restlessness and agitation following relatively mild head trauma without significant loss of consciousness (LOC). One child may have experienced this several times. The clinical features associated with a benign outcome in this syndrome include: pediatric age group, mild head trauma, brief or no LOC, onset of blindness occurring within hours of the head injury, absent optokinetic nystagmus, duration of blindness less than 24 hours, agitation and restlessness, absence of skull fracture or visible cerebral injury on CT scan, absence of other neurological deficits, and EEG findings that initially show posterior slowing with subsequent normalization. Transiently fixed and dilated pupils have been described in these patients but should be viewed cautiously by clinicians in making this diagnosis, since cortical blindness is defined by sparing of the pupils. This syndrome may be underdiagnosed, since it may not be obvious that the child is blind unless the diagnosis is considered.
journal_name
Clin Pediatr (Phila)journal_title
Clinical pediatricsauthors
Yamamoto LG,Bart RD Jrdoi
10.1177/000992288802701003subject
Has Abstractpub_date
1988-10-01 00:00:00pages
479-83issue
10eissn
0009-9228issn
1938-2707journal_volume
27pub_type
杂志文章,评审abstract::This report describes a 1-month-old female with bacteremia and meningitis complicated by an infected cephalohematoma that resulted from hematogenous seeding. This report serves as a reminder that, although occurring rarely, inflammation overlying a cephalohematoma in an infant with bacteremia can indicate focal infect...
journal_title:Clinical pediatrics
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journal_title:Clinical pediatrics
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journal_title:Clinical pediatrics
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