Fratura com afundamento craniano em crianças com menos de dois anos de idade: estudo retrospectivo de 43 casos

Miura, Flávio Key; Plese, José Píndaro Pereira; Ciquini, Orildo; Martinez, Jorge; Matushita, Hamilton

doi:10.1590/s0004-282x1995000400016

Cited by 3 publications

(3 citation statements)

References 5 publications

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“…Dessa forma, objetos de superfície pequena (faca, estilete, martelo) determinarão AC restritos à área de impacto com maior possi-bilidade de comprometimento direto do parênquima cerebral, de acordo com sua maior ou menor energia. Objetos de grande superfície provocarão fraturas curvilíneas e fraturas lineares radiais a partir do ponto de impacto, que podem ultrapassar a zona de afundamento, na dependência da intensidade do traumatismo 14,28 . A localização dos AC é variável de acordo com as séries.…”

Section: Revisão Da Literaturaunclassified

“…A localização dos AC é variável de acordo com as séries. Ocorre um predomínio nos ossos parietal e frontal em algumas séries 4,11,28,29,35,41 , entre as quais houve variação de 31% a 55,5% nestas localizações.…”

Section: Revisão Da Literaturaunclassified

“…As fraturas com afundamento craniano (AC) são relativamente freqüentes dentro da neurotraumatologia e correspondem a uma significativa quantidade de cirurgias neurológicas na população geral, principalmente no meio urbano devido ao desordenado ritmo da vida moderna 4,14,28,43 .…”

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Afundamentos cranianos na infância

Pereira¹,

Santos²

2018

jbnc

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Introdução: As fraturas com afundamento craniano são relativamentefreqüentes na infância. As principais causas são quedas acidentais e acidentes de trânsito. A característica do afundamento craniano depende da superfície do objeto e da força de sua energia cinética. Metodologia: Foram estudados artigos científicos concernente a afundamentos cranianos na infância na literatura médica e analisados as principais causas, meios de diagnóstico,tratamento e prognóstico. Conclusão: A maioria das crianças com afundamentos cranianos, quando corretamente avaliadas e tratadas, apresentam boa recuperação.

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Section: Revisão Da Literaturaunclassified

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Afundamentos cranianos na infância

Pereira¹,

Santos²

2018

jbnc

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Compound head injury in 46 pediatric patients

Kumar

Shrivastava

Singhal

et al. 2009

The Indian Journal of Neurotrauma

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The purpose of the present retrospective study was to analyze the pediatrics patients with compound head injury (CHI), and evaluate the incidence of complication in our setup, and to assess the various factors responsible for the ultimate outcome. During the 17-year-period (1990 to 2007), 46 pediatric patients under the age of 20 years with CHI were managed in two departments. The detailed clinical profile and radiological finding of these children were noted. Male to female ratio was 4.7:1. Mean age was 12.3 years. Major mode of trauma was road traffic accident; other causes included assault, fall from the height and missile injuries etc. Out of total 46 patients, 29 patients (64%) were treated surgically and 17 (36%) were managed conservatively. Complications were observed in 13 patients (29%). Meningitis was the most common, diagnosed in 6 cases (12%). Good recovery was observed in 20 cases (43%). Six children (13%) were moderately disabled, twelve (26%) were severely disabled and eight (17%) died. CHI has the risk of complications i.e. meningitis, seizure, CSF leak etc. Dural tear, free bone fragments and late presentation (more than 8 hours after trauma) were the important risk factors. Early surgery and adequate debridement with antibiotic cover play an important role in reducing the complication rate in children with compound head injury.

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The Correlation Between Skull Fractures and Intracranial Lesions Due To Traffic Accidents

Yavuz

Aşırdizer

Çetin

et al. 2003

American Journal of Forensic Medicine &Amp; Pathology

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In this study, it was aimed to investigate the relationship between skull fractures and intracranial lesions following head injury. For this purpose, 500 cases, which were referred to the Third Committee of Council of Forensic Medicine in Istanbul due to traffic accidents by the courts of laws between 1998 and 2000, were examined retrospectively. They were categorized in 3 groups based on findings of their cranium x-rays and brain tomographies. 1- The cases who have fractures in skull bones with brain lesions 2- The cases who have fractures in skull bones with no brain lesions 3- The cases who have brain lesions with no skull fractures. They were examined in detail according to age, sex, localization of skull fractures and brain lesions, and if surgery was applied or not. Of the cases, 152 (30.4%) had only linear fractures, 69 (13.8%) had depressed fractures, 92 (18.4%) had linear fractures plus intracranial lesions, 49 (9.8%) had depressed fractures plus intracranial lesions and 138 (27.6%) had only intracranial lesions. The rate of intracranial lesion among the cases with the skull fracture was 38.9% (141/362), while the rate of skull fracture among the cases with the intracranial lesion was 50.3% (141/279) (P < 0.001). Male to female ratios were 2.4/1 for linear fractures, 5.2/1 for depressed fractures, and 3.5/1 for intracranial lesions. Linear fractures were more frequent among females whereas depressed fractures were often among males (chi2: 9.68, df: 4, p: 0.046). The mean age was 26.3. The rate of depressed fractures was higher the age groups of 0-30 years. (chi2: 16.28, df: 4, p: 0.003). Depressed fractures in the regions of frontal and parietal and, linear fracture in the regions of temporal and occipital were found at higher rates (P < 0.001). In conclusion, we reviewed skull fractures and/or intracranial lesions due to traffic accidents, and found depressed fractures to be more common among males whereas linear fractures to be more common among females and young males. In the male, the skull architecture is thicker and stronger than females and young males. We can state that presence of skull fractures lowers the incidence of intracranial lesions by lowering the intracranial pressure.

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Fratura com afundamento craniano em crianças com menos de dois anos de idade: estudo retrospectivo de 43 casos

Cited by 3 publications

References 5 publications

Afundamentos cranianos na infância

Afundamentos cranianos na infância

Compound head injury in 46 pediatric patients

The Correlation Between Skull Fractures and Intracranial Lesions Due To Traffic Accidents

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