Article Text
Abstract
A 2-year-old presented with lethargy, acute visual loss, fixed dilated pupils and severe bilateral retinal haemorrhages. The retinal findings raised concerns about abusive head trauma, but subsequent investigations confirmed the diagnosis of bilateral optic neuritis associated with acute disseminated encephalomyelitis.
- retina
- child abuse
- visual pathway
- neuroopthalmology
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Footnotes
Contributors PK: cared for the patient and conceptualised the case report, obtained consent, reviewed the data, wrote and revised the manuscript and approved the final manuscript as submitted. AV: cared for the patient and reviewed the data, contributed the ophthalmological images, revised the manuscript and approved the final manuscript as submitted. MN: cared for the patient and reviewed the data, revised the manuscript and approved the final manuscript as submitted. SB: cared for the patient and reviewed the data, contributed the radiological images, revised the manuscript and approved the final manuscript as submitted.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.
Patient consent for publication Obtained.