Complications
Occurs as a result of retinal haemorrhage. May require ongoing intervention such as vitrectomy for dense vitreous haemorrhage or treatment of glaucoma related to increased intraocular pressure.
Ophthalmological consultation is necessary.
Various neurological deficits may result from the cranial trauma or its sequelae, including increased intracranial pressure. Children who are victims of abusive head injury from shaking are at greater risk of permanent neurocognitive delay than those with accidental head injury. Some of this may be due to familial characteristics, as outcome seems to be better for children from higher socio-economic backgrounds.[70]
Recovery is variable; ongoing evaluation and treatment by developmental paediatrician, and home- and school-based services, is required.
Occurs as a result of cranial trauma.
A gastrostomy feeding tube (nasogastric or surgically placed) may be necessary.
May develop as a result of cranial trauma.
Consultation with neurologist and specialist services may be necessary. Contractures secondary to cerebral palsy may require orthopaedic consultation and possible surgical intervention.
There is a moderate risk of associated post-traumatic epilepsy.
Anticonvulsive therapy and/or consultation with a neurologist may be necessary.
Can occur as a result of cranial trauma.
Placement of a ventricular shunt may be required.
Can occur as a result of cranial trauma.
Consultation with an audiologist/otolaryngologist is necessary.
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