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Case Reports
. 2022 May 2:26:101564.
doi: 10.1016/j.ajoc.2022.101564. eCollection 2022 Jun.

Saccadic intrusions in pediatric non-accidental trauma

Xi Dai  1 , Edward Kuwera  1
Affiliations
Case Reports

Saccadic intrusions in pediatric non-accidental trauma

Xi Dai et al. Am J Ophthalmol Case Rep. .

Abstract

Purpose: To report a case of saccadic intrusions in a 9-month-old under the context of non-accidental trauma.

Observations: A 9-month-old female presented with the eye finding of intermittent ocular flutter. Upon imaging for neuroblastoma, she was discovered to have bilateral supratentorial subdural hematomas with internal septations, moderate mass effect on adjacent cerebral parenchyma, pachymeningeal and tentorial enhancement, and cortical vein thrombosis. This constellation of findings was concerning for non-accidental trauma.

Conclusions and importance: Although an extremely rare occurrence, ocular flutter may be a presenting sign in non-accidental trauma, and imaging should absolutely be considered under such circumstances.

Keywords: NAT; Non-accidental trauma; Nystagmus; Ocular flutter; Saccadic intrusions.

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Conflict of interest statement

The following authors have no financial disclosures:

Figures

Fig. 1
Fig. 1
Axial MRI of the brain of the 9-month-old child showing bilateral supratentorial subdural hematomas with internal septations.
See this image and copyright information in PMC

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