Should Children with Minor Head Injury Routinely Have CT Scan?

2013 ◽  
Vol 5 (3) ◽  
pp. 131-135 ◽  
Author(s):  
Ali Er ◽  
Canan Akman ◽  
Ibrahim Alatas ◽  
Hiclal Burcin Unlu ◽  
Isin Ceylan ◽  
...  
2009 ◽  
Vol 93 (2-3) ◽  
pp. 207-210 ◽  
Author(s):  
T. Ingebrigtsen ◽  
B. Romner

2007 ◽  
Vol 109 (5) ◽  
pp. 399-405 ◽  
Author(s):  
Masih Saboori ◽  
Jalal Ahmadi ◽  
Zahra Farajzadegan

2004 ◽  
Vol 11 (8) ◽  
pp. 835-839 ◽  
Author(s):  
L.S. Abdul Latip ◽  
N.A. Ahmad Alias ◽  
A.R. Ariff ◽  
I.L. Shuaib ◽  
J. Abdullah ◽  
...  

2004 ◽  
Vol 16 (3) ◽  
pp. 195-200 ◽  
Author(s):  
David Rosengren ◽  
Sean Rothwell ◽  
Anthony FT Brown ◽  
Kevin Chu

Author(s):  
Sanjay Narayangiri Gosavi ◽  
Sambhav Lodha ◽  
Apoorva Poonia

Aim: Approximately 2 million people sustain traumatic brain injury (TBI) annually in India. A CT scan of the head is the initial choice of radiological investigation to evaluate patients with suspected head injury. The need for neurosurgical intervention is based on the clinical status of the patient and the radiological finding on head CT. Material and Methods: This was a prospective observational study done over a period of 6 months. A total of 201 patients were included in the study. Patients of traumatic brain injury above 15 years of age who were subjected to two or more CT scans of the brain. Patients were followed for a maximum of up to 5 scans. The decision of repeat scan was taken by the treating neurosurgeon. Patients who were taken up for surgery based upon the findings of the first CT scan. Patients who were discharged or who expired after the first CT scan. Results: A total of 201 consequent head injury patients with 2 or more CT scans were studied. 192 were male. The mean age was 38.6 years (Range: 16e80). Road traffic accidents was the most common cause of trauma (134, 67%) followed by fall from height (47, 24%) and assault (17, 10%). Progression of lesion was seen more frequently in mixed lesions (21.8%), followed by SDH (12.5%) and EDH (6.2%). Conclusions: Repeat CT scans were found to be of value in detecting new lesions or enlargement of existing lesions resulting in change of management in a significant proportion of patients. Keywords: Computed Tomography, Minor Head Injury, Tertiary Care Hospital, Traumatic Brain Injury (TBI), Lesions.


2015 ◽  
Vol 23 (1) ◽  
pp. 9-16 ◽  
Author(s):  
Robab Sadegh ◽  
Ehsan Karimialavijeh ◽  
Farzaneh Shirani ◽  
Pooya Payandemehr ◽  
Hooman Bahramimotlagh ◽  
...  

Author(s):  
Shao-Lun Tsao ◽  
Yin-Yang Chen ◽  
Liang-Tsai Yeh ◽  
Jing-Yang Huang ◽  
Wen-Tyng Li ◽  
...  

We investigated the association between head computed tomography (CT) scans and the risk of noncancer thyroid diseases in patients with minor head injury in a Taiwanese healthcare setting. For this retrospective population-based cohort study, the 2009–2013 Longitudinal Health Insurance Database was used to include patients with a minor head injury at admission or emergency visit between 2009 and 2013. Multivariate analysis with a multiple Cox regression model was applied to analyze the data. According to whether a CT scan was conducted within 14 days of admission, patients were divided into a CT scan group (n = 14,041) or a non-CT scan group (n = 34,684). No increased incidence of thyroid diseases was observed in the CT scan group regardless of the number of CT scans performed. The incidence rate ratio for one scan was 1.10 (95% confidence interval: 0.94–1.29) and for two or more scans was 1.09 (95% confidence interval: 0.93–1.28). In conclusion, this population-based cohort study showed that a head CT scan is not associated with increased risk of thyroid disease in patients with minor head injury. The short-term adverse effects on the thyroid could be mild when a regular CT scan is appropriately performed.


2016 ◽  
Vol 34 (1) ◽  
pp. 75-78 ◽  
Author(s):  
Beng Leong Lim ◽  
Charmaine Manauis ◽  
Marxengel L. Asinas-Tan

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