Skull radiographs and computed tomography scans in children and adolescents with mild head trauma

Arquivos de Neuro-Psiquiatria

José Roberto Tude Melo²  Rodolfo Casimiro Reis¹  Laudenor Pereira Lemos-júnior¹  Assuero Azevedo-neto¹  Dalton Willy Santos Oliveira¹  Felipe René F. Cruz Garcia¹  Joelson Oliveira Ribeiro¹  Muryllo De Brito Santos-neto¹  Jamary Oliveira-filho¹ 

[1] ,University of Bahia Post-Graduation Program in Medicine and Health

关键词: tomography;    radiography;    traumatic injury brain;    child;    adolescent;    tomografia;    radiografia;    trauma cranioencefálico;    criança;    adolescência;   

DOI  :  10.1590/S0004-282X2008000500019

来源: SciELO

【 摘 要 】

OBJECTIVE: To identify which pediatric patients with mild head trauma are candidates for skull radiographs or cranial computed tomography (CCT) scans. METHOD: Patients with mild head trauma aged from 0 to 19 years presenting to the Emergency Department of a trauma centre from Salvador City, Brazil, between May 2007 and May 2008. RESULTS: A total of 1888 mild head trauma patients were admitted; mean age was 7.4 (±5.5) years. A total of 1956 skull radiographs and 734 CCT scans were performed. About 44.4% patients with Glasgow coma score (GCS) 13 and 55.4% with GCS 14 had abnormal CCT scans. In patients with multiple traumas, 16% had abnormal findings on CCT scans. CONCLUSION: We strongly recommend routine CCT studies to patients with GCS of 13 and 14 or to multiple trauma victims, independently of score. Routine screening skull radiographs were not useful in the evaluation of mild head trauma patients in this study.

【 授权许可】

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