Characteristics and prognostic factors of intracranial hemorrhage in children

Abstract

Objective Finding the characteristics and risk factors associatedwith prognosis in children suffering from intracranial hemorrhage.Methods This was a retrospective medical record review of chil-dren (older than 1 month old) admitted with intracranial hemor-rhage to the Department of Child Health the Sanglah Hospital,Denpasar, during the period of January 1998 to December 2000.Prognostic factors were identified by chi-square and multivariateanalysis with significance of p<0.05Results There were 56 patients eligible for the study. Among themwere 35 (63%) males and 21 (27%) females. Forty-three (77%)were less than one year of age, 40 (71%) without history of traumaand the major clinical manifestation was paleness (89%). The mostcommon location was subdural bleeding, 21 patients (38%). Fac-tors associated with prognosis was the bleeding location (p<0.05)Conclusions Intracranial hemorrhage was more common in malesand in infants. The most common clinical manifestation was pale-ness. Bleeding location was associated with prognosis

Ketepatan Parameter Klinis dalam Memprediksi Mortalitas Perdarahan Intrakranial Spontan pada Anak Usia Kurang dari Satu Tahun

“…[5][6][7]10 Perbedaan tersebut mungkin dikarenakan usia subyek pada penelitian ini lebih muda. Pada anak yang lebih muda, kecenderungan perdarahan subdural terjadi akibat tulang tengkorak yang masih elastis sehingga adanya akselerasi dan deselerasi pada regio oksipital dan fisura interhemisfer posterior menyebabkan perdarahan karena di regio tersebut sutura lambdoidea dan sutura sagitalis bertumpang tindih, akibatnya pergerakan tulang dapat menyebabkan robekan dari sinus duramater.…”

“…Penelitian sebelumnya melaporkan bahwa adanya gangguan perdarahan akan sangat memengaruhi mortalitas, dengan angka kematian subyek dengan gangguan perdarahan hingga 41%. 10,12,13 Pemanjangan apTT menunjukkan derajat gangguan perdarahan dan kadar Hb dapat berhubungan dengan derajat dan lama perdarahan yang terjadi. Penurunan GCS dan refleks cahaya mungkin mencerminkan derajat proses desak ruang akibat peningkatan tekanan intrakranial.…”

The accuracy of a clinical parameters-based scoring system to predict spontaneous intracranial hemorrhage in children under one year old

“…2 A study conducted by Kardana et al found that from 56 children with intracranial hemorrhages, 43 children (77%) were aged less than 1 year and 40 children (71%) had SIH without any history of trauma. 3 An initial study conducted from January 2007 to December 2011 at Mohammad Hoesin Hospital in Palembang found 55 cases of intracranial hemorrhage, of whom 52 (94%) children were less than 1 year old, with an average age of 2.6 months. Fifty of these children (90%) had no apparent history of head trauma.…”