Management and Outcome of Traumatic Intracerebral Hemorrhage in 79 Infants and Children from a Single Level 1 Trauma Center

Binder, Harald; Majdán, Marek; Leitgeb, Johannes; Payr, Stephan; Breuer, Robert; Hajdu, Stefan; Tiefenboeck, Thomas M.

doi:10.3390/children8100854

Cited by 2 publications

(1 citation statement)

References 43 publications

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“…These results sharply contrast with data on patients with a simple traumatic ICH, 50% to 60% of whom recover without neurologic sequelae [27]. The mechanism of injury of SBS is repeated Ann Child Neurol [Epub ahead of print] rapid and strong shaking, which causes the brain to strike the skull and tear blood vessels, resulting in bleeding and hematoma [28].…”

Section: Discussionmentioning

confidence: 83%

Shaken Baby Syndrome and Accidental Traumatic Brain Injury: Characteristics and Effects on Legal Judgment

et al. 2023

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This study aimed to establish the medical evidence of abuse by comparing the clinical differences between children with shaken baby syndrome (SBS) who had no signs of trauma and traumatic brain injury (TBI). Methods: Children aged <5 years with intracranial hemorrhage (ICH) were divided into SBS group and TBI group, which was developed because of intentional or accidental trauma including physical violence. We investigated clinical characteristics, ICH and brain injury patterns, funduscopic examinations, and the legal consequences for guardians. Results: Compared to TBI, children with SBS had a higher incidence of neurological symptoms, including seizures (80.0% vs. 15.4%, P=0.001) and mental changes (73.3% vs. 32.5%, P=0.003); they also had a longer time to hospitalization (SBS, 21.8±30.4 hours; TBI, 9.5±21.3 hours; P=0.046). The rate of bilateral ICH was significantly higher in the SBS group (73.3% vs. 19.0%, P=0.001). In the TBI group, the incidence of epidural hemorrhage (EDH) and subdural hemorrhage was equal (42.3%), but EDH was not seen in the SBS group. Multistage ICH (58.3%) and diffusion-limiting lesions (75.0%) were common in SBS, with high mortality and neurological sequelae (86.7%). Nevertheless, only a few guardians (13.3%) were separated from the victim and only one person (6.7%) who confessed to abuse was detained. Conclusion: Children with SBS who have never been affected to external physical forces can have multistage and bilateral ICH with severe brain damage, which is clinically different from TBI. Our data suggest that adequate protection and active legal actions are required in order to protect children who had sufficient characteristics of SBS.

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Section: Discussionmentioning

confidence: 83%

Shaken Baby Syndrome and Accidental Traumatic Brain Injury: Characteristics and Effects on Legal Judgment

et al. 2023

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Identification of Risk Factors for Disabilities in Children Following Clinically Important Traumatic Brain Injury: a prospective cohort study

KADRI

Daood

Hussain

et al. 2023

Preprint

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Background: Head injury is a common occurrence in children and is one of the leading causes of death and disability in this age group. Accurately predicting the outcome of children with head injuries is critical for appropriate treatment and management of these patients. Purpose: The aim of this study was to determine the risk factors that can help predict the outcome of children who were admitted after a clinically important head injury. Methods: We prospectively analysed the data of 65 patients under the age of 13 years who were admitted to our hospital after a clinically important head traumatic brain injury (TBI). We statistically analysed various parameters such as age, gender, mechanism of trauma, consciousness level, convulsion, vomiting, radiological investigation, duration of hospitalization, and the need for mechanical ventilation. Results: Our study showed that some parameters gave significant predictive value for the final outcome, such as the mechanism of trauma, consciousness level, convulsion, radiological investigation, duration of hospitalization, and the need for mechanical ventilation. However, age, gender, and vomiting had no significant predictive value. Conclusion: Our findings suggest that accurate prediction of the outcome of children with head injuries is possible by considering certain risk factors. This can aid in appropriate treatment and management of these patients, which is critical for their recovery and rehabilitation. Further studies with larger sample sizes are needed to confirm our findings.

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Management and Outcome of Traumatic Intracerebral Hemorrhage in 79 Infants and Children from a Single Level 1 Trauma Center

Cited by 2 publications

References 43 publications

Shaken Baby Syndrome and Accidental Traumatic Brain Injury: Characteristics and Effects on Legal Judgment

Shaken Baby Syndrome and Accidental Traumatic Brain Injury: Characteristics and Effects on Legal Judgment

Identification of Risk Factors for Disabilities in Children Following Clinically Important Traumatic Brain Injury: a prospective cohort study

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