Evidence map›Paper›PMID 42148190›Full record

ArticleCureus2026

Retinal Findings in Nonaccidental Abusive Head Trauma in an Infant: A Case Report.

Nishanth S, Laxmi, Vishalakshi Kulkarni

Abstract readCase Reports
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Nishanth SDepartment of Ophthalmology, Shri Dharmasthala Manjunatheshwara College of Medical Sciences and Hospital, Dharwad, IND.
LaxmiDepartment of Ophthalmology, Shri Dharmasthala Manjunatheshwara College of Medical Sciences and Hospital, Dharwad, IND.
Vishalakshi KulkarniDepartment of Ophthalmology, Shri Dharmasthala Manjunatheshwara College of Medical Sciences and Hospital, Dharwad, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Nonaccidental head trauma, also known as abusive head trauma or battered baby syndrome, is a life-threatening form of child abuse. The ocular findings, particularly retinal hemorrhages (RH) and Roth spots, serve as critical diagnostic clues. Here, we report an extremely rare case of a nine-month-old male infant presenting with vomiting, seizures, and altered sensorium, in whom fundoscopic examination revealed innumerable Roth spots with multilayered RH extending to the periphery, bilateral concentric retinal folds with posterior hyaloid attachment suggestive of retinoschisis, and right eye subhyaloid hemorrhage with posterior hyaloid detachment. Follow-up revealed a full-thickness macular hole in the right eye. The CT scan showed bilateral subdural hemorrhage. Systemic investigations ruled out hematological, infectious, and cardiac etiologies. This cluster of findings was diagnostic of nonaccidental head trauma. This case underscores the indispensable role of ophthalmic examination in infants with unexplained neurological presentations and the need for a multidisciplinary approach in suspected child abuse.

Indexed as

abusive head traumabattered baby syndromechild abusefundoscopymacular holenonaccidental injuryretinal hemorrhagesretinoschisisroth spotsshaken baby syndrome

Identifiers

PMID42148190
PMCPMC13172391

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