OJEM  Vol.3 No.4 , December 2015
Role of Computed Tomographic Scanning in Pediatric Head Injury: An Observational Cohort of Data of 60 Patients
Author(s) Pankaj Sharma1,2
ABSTRACT
Pediatric head injury is one of the major health problems. That can be easily evaluated by computed tomographic scanning. This study describes the various findings of pediatric head trauma seen on CT scan, the timely diagnosis of which plays a vital role in prognosis, especially in semiurban and remote location where the decision for tertiary referral is important. Timely intervention in traumatic brain injury cases reduces morbidity and mortality. Cerebral edema, which is the most common intracranial lesion, can be promptly managed by medicosurgical support with ICP monitoring, thereby improving the overall prognosis. Other lesions commonly seen are subdural hematomas and skull fractures. Limitations of radiographs, ultrasound and MRI in these acute cases, highlight the benefit of CT scans.

Cite this paper
Sharma, P. (2015) Role of Computed Tomographic Scanning in Pediatric Head Injury: An Observational Cohort of Data of 60 Patients. Open Journal of Emergency Medicine, 3, 45-49. doi: 10.4236/ojem.2015.34009.
References
[1]   Yager, J.V., Johnston, B. and Seishia, S.S. (1990) Coma Scales in Pediatric Practice. American Journal of Diseases of Children, 144, 1088-1091.

[2]   Kelly, A.B., Zimmerman, R.D., Snow, R.B., Gandy, S.E., Heier, L.A. and Deck, M.D. (1988) Head Trauma: Comparison of MR and CT—Experience in 100 Patients. American Journal of Neuroradiology, 9, 699-708.

[3]   Wardlaw, J.M., Easton, V.J., Statham, P. and Which, C.T. (2002) Features Help Predict Outcome after Head Injury? Journal of Neurology, Neurosurgery, and Psychiatry, 72, 188-192.

[4]   Cakmakci, H. (2009) Essentials of Trauma: Head and Spine. Pediatric Radiology, 39, 391-405.

[5]   Luerssen, T.G., Klauber, M.R. and Marshall, L.F. (1988) Outcome from Head Injury Related to Patient’s Age: A Longitudinal Prospective Study of Adult and Pediatric Head Injury. Journal of Neurosurgery, 68, 409-416.

[6]   Bhargava, P., Singh, R., Prakash, B. and Sinha, R. (2011) Pediatric Head Injury: An Epidemiological Study. Journal of Pediatric Neurosciences, 6, 97-98.

[7]   Tomberg, T., Rink, U., Pikkoja, E. and Tikk, A. (1996) Computerized Tomography and Prognosis in Paediatric Head Injury. Acta Neurochirurgica, 138, 543-548.

[8]   Bruce, D.A., Alavi, A., Bilaniuk, L., Dolinskas, C., Obrist, W. and Uzzell, B. (1981) Diffuse Cerebral Swelling Following Head Injuries in Children: The Syndrome of “Malignant Brain Edema”, Journal of Neurosurgery, 54, 170-178.

[9]   Teasdale, E., Cardoso, E., Galbraith, S. and Teasdale, G. (1984) CT Scan in Severe Diffuse Head Injury: Physiological and Clinical Correlations. Journal of Neurology, Neurosurgery, & Psychiatry, 47, 600-603.

[10]   Lang, D.A., Teasdale, G.M., Macpherson, P. and Lawrence, A. (1994) Diffuse Brain Swelling after Head Injury: More Often Malignant in Adults than Children? Journal of Neurosurgery, 80, 675-680.

[11]   Schutzman, S.A., Barnes, P.D., Mantello, M. and Scott, R.M. (1993) Epidural Hematomas in Children. Annals of Emergency Medicine, 22, 535-541.

[12]   Leggate, J.R., Lopez-Ramos, N., Genitori, L., Lena, G. and Choux, M. (1989) Extradural Hematoma in Infants. British Journal of Neurosurgery, 3, 533-539.

[13]   Quayle, K.S., Jaffe, D.M., Kuppermann, N., Kaufman, B.A., Lee, B.C., Park, T.S. and McAlister, W.H. (1997) Diagnostic Testing for Acute Head Injury in Children: When Are Head Computed Tomography and Skull Radiographs Indicated? Pediatrics, 99, E11.

[14]   Shane, S.A. and Fuchs, S.M. (1997) Skull Fractures in Infants and Predictors of Associated Intracranial Injury. Pediatric Emergency Care, 13, 198-203.

[15]   Kraus, J.F., Fife, D. and Conroy, C. (1987) Pediatric Brain Injuries: The Nature, Clinical Course, and Early Outcomes in a Defined United States’ Population. Pediatrics, 79, 501-507.

[16]   Schutzman, S.A. and Greenes, D.S. (2001) Pediatric Minor Head Trauma. Annals of Emergency Medicine, 37, 65-74.

[17]   Caviness, A.C. (2015) Skull Fractures in Children.
http://www.uptodate.com/contents/skull-fractures-in-children

[18]   Wardlaw, J.M., Easton, V.J. and Statham, P. (2002) Which CT Features Help Predict Outcome after Head Injury? Journal of Neurology, Neurosurgery & Psychiatry, 72, 188-192.

[19]   Ketonen, L.M., Hiwatashi, A., Sidhu, R. and Westesson, P.L. (2004) Pediatric Brain and Spine: An Atlas of MRI and Spectroscopy. Springer-Verlag, New York, p. 283

[20]   Whitby, E.H., Griffiths, P.D., Rutter, S., Smith, M.F., Sprigg, A., Ohadike, P., Davies, N.P., Rigby, A.S. and Paley, M.N. (2004) Frequency and Natural History of Subdural Haemorrhages in Babies and Relation to Obstetric Factors. The Lancet, 363, 846-851.

[21]   Rice, H.E., Frush, D.P., Farmer, D. and Waldhausen, J.H., APSA Education Committee (2007) Review of Radiation Risks from Computed Tomography: Essentials for the Pediatric Surgeon. Journal of Pediatric Surgery, 42, 603-607.

 
 
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