Learning objectives
To describe the mechanism of traumatic brain injury with radiological imaging findings in the pediatric population
To explain complications of undiagnosed traumatic brain lesions
To illustrate radiological findings at admission to hospital and in the follow-up period.
Background
Trauma is one of the most common cause of child deaths.
In many countries,
vehicle accident and falling are the most common causes of head trauma in pediatric population,
in addition,
drowning is also a cause of traumatic brain injury.
Nonaccidental trauma or child abuse also occurs in infants and it may be difficult to diagnose initially.
Due to the some anatomical and physiological differences,
the effects of trauma in children can bedifferent when compared with adults.
Fundamental differences are these,
the pediatric skull is...
Findings and procedure details
SKULL FRACTURES
- Bones are pliable in childhood,
so the fractures in pediatric patients are less common than adults.
-Types of calvarial fracture are linear,
depressed,
diastatic,
skull base,
ping pong and growing skull fracture (5).
Linear skull fractures are the most common fractures.
Bones do not displace (Fig. 1).
Depressed skull fractures are the fragment of bone which is depressed deeper than the adjacent to inner table (Fig. 2).
Diastatic skull fractures occur along the suture lines and usually affect newborns and infants in...
Conclusion
Children are not just “little adults” and response to the trauma have many differences in children when compared with adults.
Brain damages may occur without fracture in pediatric age group.
First imaging technique choice must be CT.
MRI should be used for patients who get worse clinically.
These imaging techniques allow early and reliable recognition of secondary brain insults.
Don’t forget the limitations of imaging techniques.
Imaging findings of hemorrhage show an alteration depending on the age of hemorhage.
Don’t forget the vascular injury.
When...
References
Christopher C.
Giza,
Lasting Effects of Pediatric Traumatic Brain Injury,
Indian Journal of Neurotrauma (IJNT) 2006,
3(1):19-26
Davis PC,
Head trauma,
AJNR Am J Neuroradiol.2007 Sep;28(8):1619-21
Bruce Lee,
Andrew Newberg,
Neuroimaging in Traumatic Brain Imaging.
NeuroRx 2005; 2,
372–383
Friess SH,Kilbaugh TJ,Huh JW,
Advancedneuromonitoringandimaginginpediatrictraumaticbraininjury.
Crit Care Res Pract.2012;2012:361310
George A Alexiou,
George Sfakianos,
and Neofytos Prodromou,
Pediatric head trauma,
J Emerg Trauma Shock.
2011 Jul-Sep; 4(3): 403–408
Idriz S,Patel JH,Ameli Renani S,Allan R,Vlahos I,
CT of Normal Developmental and Variant Anatomy of the Pediatric Skull:...