Evaluation of Clinical and Radiological Indicators of Childhood Head Trauma

Evaluation of Clinical and Radiological Indicators of Childhood Head Trauma

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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, Balaclavas 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 vomiting, tachypnea, focal neurological findings, multitrauma, GCS <15 and low PTS were more common with traumatic brain injury (p <0.05).Vomiting, GCS <15 and low PTS were more common in children >2 years old and with traumatic brain injury (p <0.

05).Neurological sequelae were not detected in patients aged <2 years with mild trauma.Loss of consciousness, pulse rate, respiratory and blood pressure abnormalities, focal neurological findings, low GCS and PTS were more common Remote controls in children aged >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.