Potmortem Orbital Finding in haken Baby yndrome Original Reearch Article

Purpoe To compare potmortem orbital finding in pediatric accidental head injury to haken Baby yndrome (B). Deign Retropective tudy. Method etting: Intitutional. tudy population: Thirty-ix patient underwent potmortem modified exenteration with ectioning of the orbital content; 18 victim of B and 18 cae of fatal accidental head trauma. obervation procedure: In all cae of children who died from accidental head trauma, the orbital tiue were eparated to expoe the optic nerve heath. Patient with gro evidence of hemorrhage within the heath were included. All cae of B were included. After accidental head injury, exenteration wa performed only if optic nerve heath hemorrhage wa upected on gro examination. All children younger than 18 year old with head injury a primary caue of death were included. B i defined a having at leat two of the following: (1) typical abnormal finding on neuroimaging, (2) typical keletal injury, (3) retinal hemorrhage, (4) hitory of abuive haking with or without blunt head trauma, or (5) an inadequate hitory to explain the oberved injurie. main outcome meaure: Preence or abence of orbital hemorrhage. Reult Orbital tiue injury i more common in B than accidental head trauma without orbital fracture. In addition, optic nerve heath and optic nerve intradural hemorrhage are alo ignificantly more common in B (P < .0001). Concluion Our tudy report new evidence of injury to orbital tiue in B and upport the concept that thee finding are due to unique acceleration-deceleration force of thi type of abuive head injury.