Open AccessEvaluation of Clinical and Radiological Indicators of Childhood Head Trauma
Author(s) -
Münevver Yılmaz,
Ayşe Berna Anıl,
Murat Anıl,
Mehmet Rami Helvacı
Publication year - 2021
Publication title -
forbes tıp dergisi
Language(s) - English
Resource type - Journals
eISSN - 2757-5241
pISSN - 2717-9443
DOI - 10.5222/forbes.2021.49404
Subject(s) - medicine , vomiting , glasgow coma scale , head trauma , hematoma , traumatic brain injury , anesthesia , coma (optics) , head injury , emergency department , intracranial pressure , tachypnea , surgery , pediatrics , physics , psychiatry , optics , tachycardia
Objective: The aim of this study is to determine the clinical signs of traumatic brain injury and its long-term effects on prognosis by evaluating the clinical and radiological findings of the patients admitted to the pediatric emergency department due to blunt head trauma. Method: The cases who applied to the pediatric emergency department due to head trauma were examined prospectively. Glaskow Coma (GCS) and Pediatric Trauma Scores (PTS) were calculated. The patients were evaluated neurologically 6 months after they were discharged. Results: A total of 707 pediatric patients [mean age: 59.8 ± 42.6 months; range: 1 month to 13 years; 263 (37.2%) girls] were evaluated prospectively. Pathology was detected in 101 cases (45.9%) [(epidural hematoma, 14; subdural hematoma, 11; brain edema, 36; intracerebral hematoma, 6; subarachnoid hemorrhage, 8; cerebral contusion, 22. Seventy-two (10.1%) patients had skull fractures.] Seventeen cases (2.4%) were operated, and 7 (1.4%) cases were lost. In children aged 2 years old and with traumatic brain injury (p 2 years and with neurological sequelae (p <0.05). Conclusion: Physical examination findings, GCS, and PTS levels are useful tools in predicting the short- and long-term consequences of the injury.