Predictive value of skull radiography for intracranial injury in children with blunt head injury

Lloyd, David; Carty, Helen; Patterson, P. Daniel; Butcher, Clifford K; Roe, D.A.

doi:10.1016/s0140-6736(96)09356-7

Cited by 170 publications

(77 citation statements)

References 11 publications

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“…Skull radiographs were abnormal in a lower frequency (2.5%) when compared to CCT scans and had a low sensitivity, which is in agreement with some studies that show its lack of importance as a routine screening study in patients with mild head trauma 17,[19][20][21] . lloyd et al 17 observed that neurological examination has a higher sensitivity than skull radiographs with respect to the investigation of intracranial lesions.…”

Section: Discussionsupporting

confidence: 87%

“…The rational use of imaging studies in the evaluation of mild head trauma victims is not well established and a consensus regarding skull radiographs and CCT scan use on patients with a GCS of 15 is lacking 2,4,[14][15][16][17] . As a result, some imaging studies are done with no indication, elevating hospital costs.…”

Section: Discussionmentioning

confidence: 99%

“…lloyd et al 17 observed that neurological examination has a higher sensitivity than skull radiographs with respect to the investigation of intracranial lesions.…”

Section: Discussionmentioning

confidence: 99%

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

Melo

Reis²,

Lemos-Júnior³

et al. 2008

Arq. Neuro-Psiquiatr.

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-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.KEy WoRDS: tomography, radiography, traumatic injury brain, child, adolescent. radiografia simples e tomografia computadorizada do crânio em crianças e adolescentes vítimas de traumatismo craniano leveResumo -Objetivo: Identificar quais os pacientes na faixa pediátrica com trauma craniencefálico leve são candidatos para a realização de radiografia simples ou tomografia computadorizada do crânio (TCC). Método: Pacientes com trauma craniano leve, entre 0 e 19 anos, admitidos em um centro de referência em traumatologia, na cidade do Salvador, Brasil, entre maio 2007 e maio 2008. Resultados: Foram atendidos 1888 pacientes com trauma craniano leve, com idade média de 7,4 (±5,5) anos. Um total de 1956 radiografias simples e 734 TCC foram realizadas. Em 44,4% dos pacientes com escala de coma de Glasgow (GCS) 13 e 55.4% com GCS 14, tiveram TCC com achados anormais. Em pacientes com múltiplos traumas, 16% possuíam alterações na TCC. Conclusão: Recomendamos TCC em pacientes com GCS 13 e 14 ou naqueles com traumas múltiplos, independente do GCS. Radiografias simples do crânio como rotina, não foram identificadas como úteis, no presente estudo.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

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

Melo

Reis²,

Lemos-Júnior³

et al. 2008

Arq. Neuro-Psiquiatr.

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“…Study by Lloyd et al 10 showed an incidence of linear fractures of 84% and that of depressed fractures to be 9%. Goyal et al 11 also stated that linear fracture (77%) is the most common followed by depressed fracture (13%).…”

Section: Discussionmentioning

confidence: 95%

Role of Computerized Tomography as Prime Imaging Modality in the Evaluation of Traumatic Brain Injury

Tyagi¹,

Mehrotra²,

Parakh³

et al. 2017

International Journal of Advanced and Integrated Medical Sciences

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“…Conventional radiography is too insensitive as a screening method. 54 In case of a skull fracture a CT should be obtained to rule out intracranial hematoma. Clinical observation of patients with mild HI is always indicated, if observation by relatives or friends is not feasible.…”

Section: Hospital Treatment Diagnosismentioning

confidence: 99%

Current Concepts in Diagnosis and Treatment of Traumatic Brain Injury: Implications for Healthcare in Nepal

Sakowitz

Sharma

Kiening³

2005

Nep J Neurosci

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Taumatic brain injury (TBI) is a leading cause of disability and death in the industrialized and in the developing world. With an incidence of 200-400 cases per 100.000, head injuries are a major contributor to socio-economic costs. The 20% suffering from severe head injury (SHI) requiring prolonged intensive care and/or neurosurgical intervention are of particular interest to specialist practitioners from multiple disciplines.This review covers the current concepts of diagnosis and treatment in these patients in the Western world, i.e. mainly the US and Western Europe. Special emphasis is laid upon evidence-based guidelines established during the last decade. Comparison is drawn to the current status of trauma care in Nepal.Management strategies for TBI can not be applied to Nepalese healthcare entirely. Effective management of head injured persons in Nepal is affected by its difficult geographical location, unavailability of trained personnel in the field, and difficulty in transporting the patients due to the lack of motorable roads. While some of the equipment for the treatment of TBI victims is readily available (e.g. ventricular drainage), others are scarce (e.g. operating room capacity, intensive care facilities) or completely unavailable (e.g. emergency medical service providers, specialized monitoring equipment). Realistic proposals for improvement of the current situation are made. Nepal Journal of Neuroscience, Volume 2, Number 1, 2005, page: 29-51

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Predictive value of skull radiography for intracranial injury in children with blunt head injury

Cited by 170 publications

References 11 publications

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

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

Role of Computerized Tomography as Prime Imaging Modality in the Evaluation of Traumatic Brain Injury

Current Concepts in Diagnosis and Treatment of Traumatic Brain Injury: Implications for Healthcare in Nepal

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