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Intracranial lesions of surgical interest in minor head injuries in paediatric patients.
Intracranial lesions of surgical interest in minor head injuries in paediatric patients.
- Source :
-
Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery [Childs Nerv Syst] 1992 May; Vol. 8 (3), pp. 136-8. - Publication Year :
- 1992
-
Abstract
- Among 62 children and adolescents (1-16 years) admitted over a period of 3 years (1987-1989) with a minor head injury, 33 (53%) were found to harbour intracranial lesions of surgical interest. The most frequent lesion found was extradural haematoma (17 cases), followed by cerebral contusion (7 cases), depressed fracture (4 cases), depressed fracture with underlying contusion (3 cases) and pneumocephalus (2 cases). A skull fracture was present in 88% of patients with an intracranial lesion and in 50% of patients without lesions. Fifteen patients underwent surgery for an extradural haematoma or a depressed fracture. All had a good recovery. No correlation was found between age and Glasgow Coma Score on the one hand, and the incidence of both the presence of intracranial lesions and the necessity of surgical treatment on the other. The only important risk factor proved to be a skull fracture, which had occurred significantly more often in patients with intracranial lesions than in those without any.
- Subjects :
- Adolescent
Cerebral Hemorrhage diagnostic imaging
Child
Child, Preschool
Female
Follow-Up Studies
Glasgow Coma Scale
Head Injuries, Closed diagnostic imaging
Humans
Infant
Male
Risk Factors
Skull Fractures diagnostic imaging
Skull Fractures surgery
Tomography, X-Ray Computed
Cerebral Hemorrhage surgery
Head Injuries, Closed surgery
Subjects
Details
- Language :
- English
- ISSN :
- 0256-7040
- Volume :
- 8
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery
- Publication Type :
- Academic Journal
- Accession number :
- 1611613
- Full Text :
- https://doi.org/10.1007/BF00298269