Study of risk factors, clinical spectrum, and outcome for head injury in pediatric age group in Western India

AbstractThe authors report a rare case of dual chronic ossified epidural hematomas (EDHs) in a 35-year-old man with complaint of seizures after 23 years of head injury. Ossified EDH is a rare entity, and it commonly presents in pediatric age group. Presenting symptoms include headache and very rarely seizures. Asymptomatic cases may produce symptoms after decades; hence, regular follow-up is required. Treatment includes craniotomy or conservative management.

Download Full-text

Mild traumatic brain injuries in adults

Journal of Neurosciences in Rural Practice ◽

10.4103/0976-3147.71723 ◽

2010 ◽

Vol 01 (02) ◽

pp. 082-088 ◽

Cited By ~ 29

Author(s):

Dhaval Shukla ◽

B Indira Devi

Keyword(s):

Risk Factors ◽

Ct Scan ◽

Brain Injuries ◽

Traumatic Brain Injuries ◽

Age Group ◽

Pediatric Age ◽

Postconcussion Syndrome ◽

Intracranial Lesion ◽

Sports Concussion ◽

Pediatric Age Group

ABSTRACTMild traumatic brain injury (mTBI) is the commonest form of TBI. Though the name implies, it may not be mild in certain cases. There is a lot of heterogeneity in nomenclature, classifi cation, evaluation and outcome of mTBI. We have reviewed the relevant articles on mTBI in adults, particularly its defi nition, evaluation and outcome, published in the last decade. The aspects of mTBI like pediatric age group, sports concussion, and postconcussion syndrome were not reviewed. There is general agreement that Glasgow coma score (GCS) of 13 should not be considered as mTBI as the risk of intracranial lesion is higher than in patients with GCS 14–15. All patients with GCS of <15 should be evaluated with a computed tomography (CT) scan. Patients with GCS 15 and risk factors or neurological symptoms should also be evaluated with CT scan. The outcome of mTBI depends on the combination of preinjury, injury and postinjury factors. Overall outcome of mTBI is good with mortality around 0.1% and disability around 10%.

Download Full-text

A Prospective Analysis of Derangement of Coagulation Profile in Adult and Pediatric Age Group in Moderate-to-Severe Traumatic Brain Injury

Indian Journal of Neurotrauma ◽

10.1055/s-0038-1676556 ◽

2018 ◽

Vol 15 (02/03) ◽

pp. 087-093

Author(s):

Swarup Sohan Gandhi ◽

Manish Mann ◽

Shashikant Jain ◽

Ugan Singh Meena ◽

Virendra Deo Sinha

Keyword(s):

Risk Factors ◽

Traumatic Brain Injury ◽

Brain Injury ◽

Pediatric Patients ◽

Age Groups ◽

Age Group ◽

Pediatric Age ◽

Coagulation Profile ◽

Pediatric Age Group ◽

Severe Tbi

Abstract Background and Aim of Study Coagulopathy is a common occurrence following traumatic brain injury (TBI). Various studies have reported the incidence and risk factors of coagulopathy and their correlation with poor outcome in adult as well as pediatric age group. In our study, we aim to analyze trauma-induced coagulopathy in adult and pediatric patients. Methods Adult (> 18 years) and pediatric (< 18 years) patients of TBI admitted in the intensive care unit of a trauma center of a tertiary care center had been studied from August 2015 to March 2018. Patients were further subdivided into moderate and severe TBI based on Glasgow Coma Scale (GCS) of 9 to 12 and < 9, respectively. Coagulation profile (prothrombin time [PT], activated partial thromboplastin time [APTT], thrombin time, fibrinogen, and D-dimer) and arterial blood gas (ABG) analysis were done on day of admission and on days 3 and 7. Coagulation profiles were analyzed in both the age groups, and risk factors were studied and correlated with the mortality and morbidity based on the Glasgow outcome score. Results Two hundred patients including 143 adults and 57 pediatric patients were included. Mean age among the adult and pediatric population was 31.51 ± 16.83 and 11.5 ± 5.90 years, respectively. In adults, 96 (83.62%) out of 116 in severe TBI group and 20 (74.07%) out of 27 in moderate TBI group developed coagulopathy, and in pediatric age group, 14 (70%) out of 20 in moderate TBI and 30 (81.08%) out of 37 in severe TBI developed coagulopathy. Midline shift was significantly associated with coagulopathy in both the age groups (p value < 0.039). Mortality was not significantly different in patients with coagulopathy between the age groups, but improved status as per the Glasgow outcome score was more in pediatric age group. Conclusion The development of coagulopathy is a frequent complication in patients with moderate to severe TBI in both age groups. Even though it is not closely associated with death in this study, it may be regarded as a marker of injury severity.

Download Full-text

CLINICAL SPECTRUM OF DENGUE IN PEDIATRIC AGE GROUP: A STUDY AT TERTIARY CARE HOSPITAL

Indian Journal of Child Health ◽

10.32677/ijch.2020.v07.i01.005 ◽

2020 ◽

Vol 07 (01) ◽

pp. 19-21

Author(s):

Kirti Mehta ◽

Avani Patel ◽

Priti P Patel ◽

Ankur Patel

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Clinical Spectrum ◽

Care Hospital ◽

Age Group ◽

Pediatric Age ◽

Pediatric Age Group ◽

Group A

Download Full-text

Assessment of mortality associated with mild head injury in the pediatric age group

Child s Nervous System ◽

10.1007/bf00334967 ◽

1995 ◽

Vol 11 (8) ◽

pp. 467-473 ◽

Cited By ~ 9

Author(s):

I. Semih Keskil ◽

M. Kemali Baykaner ◽

Necdet �eviker ◽

Memduh Kaymaz

Keyword(s):

Head Injury ◽

Mild Head Injury ◽

Age Group ◽

Pediatric Age ◽

Pediatric Age Group

Download Full-text

Occult Orbitocranial Penetrating Pencil Injury in a Child

Case Reports in Surgery ◽

10.1155/2012/716791 ◽

2012 ◽

Vol 2012 ◽

pp. 1-4 ◽

Cited By ~ 6

Author(s):

Faisal Al-Otaibi ◽

Saleh Baeesa

Keyword(s):

Foreign Body ◽

Head Injury ◽

Surgical Management ◽

Medical Management ◽

Imaging Study ◽

Penetrating Injury ◽

Age Group ◽

Pediatric Age ◽

Pediatric Age Group ◽

Type Of Injury

Transorbital slow-penetrating injury is an uncommon type of head injury that is seen more often in the pediatric age group. This type of injury can be occult, which is often associated with serious complications. We report on a 4-year-old female who presented with orbital swelling after an unwitnessed right orbital injury following a fall on her face at her school. Three days after injury, the presence of a foreign body was discovered on imaging study when she presented with orbital swelling and purulent discharges. She recovered well after surgical and medical management. This paper sheds light on the importance of high suspicion for the presence and early surgical management of a penetrating foreign body.

Download Full-text