Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Typ-2-Diabetes und Adipositas Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende

Die Highlights vom Kongress des American College of Cardiology 2024

Im April diskutierten die Herz-Kreislauf-Spezialisten aus der ganzen Welt auf dem  Kongress des American College of Cardiology (ACC) u.a. neue Therapieansätze bei akutem Myokardinfarkt, koronarer Herzerkrankung, kardiogenem Schock oder Aortenklappenstenose. In unserem Kongress-Dossier haben wir für Sie Berichte über die „Late-Breaking Trials“ und andere wichtige Studien zusammengestellt. 
Erweiterte Suche
Anmelden
nach oben
Pediatric Radiology
Erschienen in: Pediatric Radiology 5/2009

01.05.2009 | Review

Imaging of accidental paediatric head trauma

verfasst von: Phua Hwee Tang, Choie Cheio Tchoyoson Lim

Erschienen in: Pediatric Radiology | Ausgabe 5/2009

Einloggen, um Zugang zu erhalten

Abstract

Head trauma is the most common form of injury sustained in serious childhood trauma and remains one of the top three causes of death despite improved road planning and safety laws. CT remains the first-line investigation for paediatric head trauma, although MRI may be more sensitive at picking up the full extent of injuries and may be useful for prognosis. Follow-up imaging should be tailored to answer the specific clinical question and to look for possible complications.
Literatur
1.
2.
Jaspan T (2008) Current controversies in the interpretation of non-accidental head injury. Pediatr Radiol 38:S378–S387PubMedCrossRef
3.
Fernando S, Obaldo RE, Walsh IR et al (2008) Neuroimaging of nonaccidental head trauma: pitfalls and controversies. Pediatr Radiol 38:827–838PubMedCrossRef
4.
5.
Langlois JA, Rutland-Brown W, Thomas KE (2005) The incidence of traumatic brain injury among children in the United States: differences by race. J Head Trauma Rehabil 20:229–238PubMedCrossRef
6.
Noppens R, Brambrink AM (2002) Traumatic brain injury in children – clinical implications. Ann Fr Anesth Reanim 21:133–140
7.
Chiaretti A, De Benedictis R, Della Corte F et al (2002) The impact of initial management on the outcome of children with severe head injury. Childs Nerv Syst 18:54–60PubMedCrossRef
8.
Arnarson EO, Halldorsson JG (1995) Head trauma among children in Reykjavik. Acta Paediatr 84:96–99PubMedCrossRef
9.
Zhao Y, Wang W (2001) Neurosurgical trauma in People’s Republic of China. World J Surg 25:1202–1204PubMedCrossRef
10.
Durkin MS, Olsen S, Barlow B et al (1998) The epidemiology of urban pediatric neurological trauma: evaluation of, and implications for, injury prevention programs. Neurosurgery 42:300–310PubMedCrossRef
11.
Rohana J, Ong LC, Abu Hassan A (1998) Epidemiology of head injury in Malaysian children: a hospital-based study. Med J Malaysia 53:217–222PubMed
12.
Schneier AJ, Shields BJ, Hostetler SG et al (2006) Incidence of pediatric traumatic brain injury and associated hospital resource utilization in the United States. Pediatrics 118:483–492PubMedCrossRef
13.
14.
Schnadower D, Vazquez H, Lee J et al (2007) Controversies in the evaluation and management of minor blunt head trauma in children. Curr Opin Pediatr 19:258–264PubMedCrossRef
15.
Witmer CM, Raffini LJ, Manno CS (2007) Utility of computed tomography of the head following head trauma in boys with haemophilia. Haemophilia 13:560–566PubMedCrossRef
16.
Li J, Brown J, Levine M (2001) Mild head injury, anticoagulants, and risk of intracranial injury. Lancet 357:771–772PubMedCrossRef
17.
National Institute for Health and Clinical Excellence (2007) Head injury. Triage, assessment, investigation and early management of head injury in infants, children and adults. National Institute for Health and Clinical Excellence, London. http://​www.​nice.​org.​uk/​guidance/​CG56. Accessed 14 Dec 2008
18.
Dunning J, Patrick Daly J, Lomas J-P et al (2006) Derivation of the children’s head injury algorithm for the prediction of important clinical events decision rule for head injury in children. Arch Dis Child 91:885–891PubMedCrossRef
19.
Murgio A, Andrade FA, Sanchez Muñoz MA et al (1999) International multicenter study of head injury in children. ISHIP Group. Childs Nerv Syst 15:318–321PubMedCrossRef
20.
Hurwitz LM, Reiman RE, Yoshizumi TT et al (2007) Radiation dose from contemporary cardiothoracic multidetector CT protocols with an anthropomorphic female phantom: implications for cancer induction. Radiology 245:742–750PubMedCrossRef
21.
Huda W, Vance A (2007) Patient radiation doses from adult and pediatric CT. AJR 188:540–546PubMedCrossRef
22.
Paterson A, Frush DP (2007) Dose reduction in paediatric MDCT: general principles. Clin Radiol 62:507–517PubMedCrossRef
23.
Brenner DJ, Hall EJ (2007) Computed tomography – an increasing source of radiation exposure. N Engl J Med 357:2277–2284PubMedCrossRef
24.
Brenner DJ, Elliston CD, Hall EJ et al (2001) Estimated risks of radiation-induced fatal cancer from pediatric CT. AJR 176:289–296PubMed
25.
Smith AB, Dillon WP, Lau BC et al (2008) Radiation dose reduction strategy for CT protocols: successful implementation in neuroradiology section. Radiology 247:499–506PubMedCrossRef
26.
Kalra MK, Maher MM, Toth TL et al (2004) Strategies for CT radiation dose optimization. Radiology 230:619–628PubMedCrossRef
27.
Mukundan S, Wang PI, Frush DP et al (2007) MOSFET dosimetry for radiation dose assessment of bismuth shielding of the eye in children. AJR 188:1648–1650PubMedCrossRef
28.
Frush DP, Donnelly LF, Rosen NS (2003) Computed tomography and radiation risks: what pediatric health care providers should know. Pediatrics 112:951–957PubMedCrossRef
29.
30.
Barkovich AJ (2005) Brain and spine injuries in infancy and childhood. In: Pediatric neuroradiology. Lippincott Williams & Wilkins, Philadelphia, pp 248–278
31.
Strub WM, Leach JL, Tomsick T et al (2007) Overnight preliminary head CT interpretations provided by residents: locations of misidentified intracranial hemorrhage. AJNR 28:1679–1682PubMed
32.
Sigmund GA, Tong KA, Nickerson JP et al (2007) Multimodality comparison of neuroimaging in pediatric traumatic brain injury. Pediatr Neurol 36:217–226PubMedCrossRef
33.
Hernalsteen D, Dignac A, Oppenheim C et al (2007) Hyperacute intraventricular hemorrhage: detection and characterization, a comparison between 5 MRI sequences. J Neuroradiol 34:42–48PubMed
34.
da Rocha AJ, da Silva CJ, Gama HP et al (2006) Comparison of magnetic resonance imaging sequences with computed tomography to detect low-grade subarachnoid hemorrhage: role of fluid-attenuated inversion recovery sequence. J Comput Assist Tomogr 30:295–303PubMedCrossRef
35.
Frignon C, Shaw DW, Heckbert SR et al (2004) Supplemental oxygen causes increased signal intensity in subarachnoid cerebrospinal fluid on brain FLAIR MR images obtained in children during general anesthesia. Radiology 233:51–55CrossRef
36.
Duhem R, Vinchon M, Tonnelle V et al (2006) Main temporal aspects of the MRI signal of subdural hematomas and practical contribution to dating head injury. Neurochirurgie 52:93–104PubMedCrossRef
37.
Schaefer PW, Huisman TA, Sorensen AG et al (2004) Diffusion-weighted MR imaging in closed head injury: high correlation with initial Glasgow coma scale score and score on modified Rankin scale at discharge. Radiology 233:58–66PubMedCrossRef
38.
Ashwal S, Holshouser BA, Tong KA (2006) Use of advanced neuroimaging techniques in the evaluation of pediatric traumatic brain injury. Dev Neurosci 28:309–326PubMedCrossRef
39.
Munson S, Schroth E, Ernst M (2006) The role of functional neuroimaging in pediatric brain injury. Pediatrics 117:1372–1381PubMedCrossRef
40.
Tong KA, Ashwal S, Holshouser BA et al (2004) Diffuse axonal injury in children: clinical correlation with hemorrhagic lesions. Ann Neurol 56:36–50PubMedCrossRef
41.
Yuan W, Holland SK, Schmithorst VJ et al (2007) Diffusion tensor MR imaging reveals persistent white matter alteration after traumatic brain injury experienced during early childhood. AJNR 28:1919–1925PubMed
42.
Akpinar E, Koroglu M, Ptak T (2007) Diffusion tensor MR imaging in pediatric head trauma. J Comput Assist Tomogr 31:657–661PubMedCrossRef
43.
Wilde EA, Chu Z, Bigler ED et al (2006) Diffusion tensor imaging in the corpus callosum in children after moderate to severe traumatic brain injury. J Neurotrauma 23:1412–1426PubMedCrossRef
44.
Holshouser BA, Tong KA, Ashwal S (2005) Proton MR spectroscopic imaging depicts diffuse axonal injury in children with traumatic brain injury. AJNR 26:1276–1285PubMed
45.
Hunter JV, Thornton RJ, Wang ZJ et al (2005) Late proton MR spectroscopy in children after traumatic brain injury: correlation with cognitive outcomes. AJNR 26:482–488PubMed
46.
Ashwal S, Holshouser BA, Shu SK et al (2000) Predictive value of proton magnetic resonance spectroscopy in pediatric closed head injury. Pediatr Neurol 23:114–125PubMedCrossRef
47.
Karunanayaka PR, Holland SK, Yuan W et al (2007) Neural substrate differences in language networks and associated language-related behavioral impairments in children with TBI: a preliminary fMRI investigation. NeuroRehabilitation 22:355–369PubMed
48.
Goshen E, Zwas ST, Shahar E et al (1996) The role of 99Tcm-HMPAO brain SPET in paediatric traumatic brain injury. Nucl Med Commun 17:418–422PubMedCrossRef
49.
Bavetta S, Nimmon CC, White J et al (1994) A prospective study comparing SPET with MRI and CT as prognostic indicators following severe closed head injury. Nucl Med Commun 15:961–968PubMed
50.
Ichise M, Chung D, Wang P et al (1994) Technetium-99m-HMPAO SPECT, CT and MRI in the evaluation of patients with chronic traumatic brain injury: a correlation with neuropsychological performance. J Nucl Med 35:217–226PubMed
51.
Braga LW, Souza LN, Najjar YJ et al (2007) Magnetic resonance imaging (MRI) findings and neuropsychological sequelae in children after severe traumatic brain injury: the role of cerebellar lesion. J Child Neurol 22:1084–1089PubMedCrossRef
52.
Whitby EH, Griffiths PD, Rutter S et al (2004) Frequency and natural history of subdural haemorrhages in babies and relation to obstetric factors. Lancet 12:2001–2002
53.
Rooks VJ, Eaton JP, Ruess L et al (2008) Prevalence and evolution of intracranial hemorrhage in asymptomatic term infants. AJNR 29:1082–1089PubMed
54.
Looney CB, Smith JK, Merck LH et al (2007) Intracranial hemorrhage in asymptomatic neonates: prevalence on MR images and relationship to obstetric and neonatal risk factors. Radiology 242:535–541PubMedCrossRef
55.
Hunag A, Robertson RL (2004) Spontaneous superficial parenchymal and leptomeningeal hemorrhage in term neonates. AJNR 25:469–475
56.
King SJ, Boothroyd AE (1998) Cranial trauma following birth in term infants. Br J Radiol 71:233–238PubMed
57.
Khoshyomn S, Tranmer BI (2004) Diagnosis and management of pediatric closed head injury. Semin Pediatr Surg 13:80–86PubMedCrossRef
58.
Muhonen MC, Piper JG, Menezes AH (1995) Pathogenesis and treatment of growing skull fractures. Surg Neurol 43:367–373PubMedCrossRef
59.
Guzel A, Tatli M, Kilincer C et al (2007) Posttraumatic intraventricular arachnoid cyst accompanied by pseudomeningoencephalocele in a child. J Clin Neurosci 14:1210–1213PubMedCrossRef
Metadaten
Titel
Imaging of accidental paediatric head trauma
verfasst von
Phua Hwee Tang
Choie Cheio Tchoyoson Lim
Publikationsdatum
01.05.2009
Verlag
Springer-Verlag
Erschienen in
Pediatric Radiology / Ausgabe 5/2009
Print ISSN: 0301-0449
Elektronische ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-008-1083-7

Weitere Artikel der Ausgabe 5/2009

Pediatric Radiology 5/2009 Zur Ausgabe

Review

The imaging of paediatric thoracic trauma

Clinical Image

Proximal humeral epiphysiolysis in a newborn

Review

Sport injuries in the paediatric and adolescent patient: a growing problem

Review

Nonaccidental trauma: clinical aspects and epidemiology of child abuse

Review

Interventional radiology for paediatric trauma

Clinical Image

Cardiac tamponade: appearance on CT

Neu im Fachgebiet Radiologie

Darf man die Behandlung eines Neonazis ablehnen?

08.05.2024 Gesellschaft Nachrichten

In einer Leseranfrage in der Zeitschrift Journal of the American Academy of Dermatology möchte ein anonymer Dermatologe bzw. eine anonyme Dermatologin wissen, ob er oder sie einen Patienten behandeln muss, der eine rassistische Tätowierung trägt.

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

07.05.2024 Klinik aktuell Nachrichten

Extreme Arbeitsverdichtung und kaum Supervision: Dr. Andrea Martini, Sprecherin des Bündnisses Junge Ärztinnen und Ärzte (BJÄ) über den Frust des ärztlichen Nachwuchses und die Vorteile des Rucksack-Modells.

Endlich: Zi zeigt, mit welchen PVS Praxen zufrieden sind

IT für Ärzte Nachrichten

Darauf haben viele Praxen gewartet: Das Zi hat eine Liste von Praxisverwaltungssystemen veröffentlicht, die von Nutzern positiv bewertet werden. Eine gute Grundlage für wechselwillige Ärztinnen und Psychotherapeuten.

Akuter Schwindel: Wann lohnt sich eine MRT?

28.04.2024 Schwindel Nachrichten

Akuter Schwindel stellt oft eine diagnostische Herausforderung dar. Wie nützlich dabei eine MRT ist, hat eine Studie aus Finnland untersucht. Immerhin einer von sechs Patienten wurde mit akutem ischämischem Schlaganfall diagnostiziert.

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen
Bildnachweise