Basilar skull fracture xray1/18/2024 Minor head injury is common in children and an important cause of morbidity and mortality in the pediatric population. Neuroobservation without initial CT scans is safe in infants and children following minor head trauma and CT scans should be reserved for patients with neurological symptoms. Children under the age of 2 years have the highest risk of skull fractures after minor head trauma, but do not have a higher incidence of intracranial bleeding. All detected ICHs could be treated conservatively. The rate of diagnosed skull fractures in radiographs following minor head trauma is low, and additional CT scans are not indicated in asymptomatic patient with a linear skull fracture. Our findings support previous evidence against the routine use of skull X-rays for evaluation of children with minor head injury. Nine patients (14%) were observed at our pediatric intensive care unit for a mean time of 2.9 days. Nine patients (14%) showed an intracranial hemorrhage (ICH mean age: 7.3 years) one patient had a neurosurgery because of a depressed skull fracture. Nine patients (14%) required a computed tomography (CT) scan during their hospital stay due to neurological symptoms, and four patients had a brain magnetic resonance imaging. The majority of injuries were caused by falls (77%). ![]() A typical boggy swelling was present in 61% of all skull fractures. A total of 1658 children (32%) were <2 years old. ![]() The mean age of all our patients was 5.9 years (median age: 4.0 years) the mean age of patients with a diagnosed skull fracture was 2.3 years (median age: 0.8 years). In 5217 skull radiographies, 66 skull fractures (1.3%) were detected. We worked up the medical history of all consecutive patients with a skull fracture treated in our hospital from January 2009 to October 2014 and investigated all skull X-rays in our hospital during this period. The aim of our retrospective study was to evaluate our diagnostic and clinical management of children with skull fractures following minor head trauma. The indications of routine skull X-rays after mild head trauma are still in discussion, and the clinical management of a child with a skull fracture remains controversial.
0 Comments
Leave a Reply.AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |