Management of supratentorial epidural hematoma in children: report on 49 patients
Traumatic head injury is a common cause of mortality and acquired neurological impairment in children. However, pediatric epidural hematomas (EDHs) are not common and few series have studied the evolution of these patients. In this study, we present the results from a sample of patients with EDH wit...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Academia Brasileira de Neurologia (ABNEURO)
2010-12-01
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| Series: | Arquivos de Neuro-Psiquiatria |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2010000600011&lng=en&tlng=en |
| _version_ | 1829522476311248896 |
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| author | Wellingson Silva Paiva Almir Ferreira de Andrade Luis Mathias Júnior Vinicius Monteiro de Paula Guirado Robson Luis Amorim Nadia Nader Magrini Manoel Jacobsen Teixeira |
| author_facet | Wellingson Silva Paiva Almir Ferreira de Andrade Luis Mathias Júnior Vinicius Monteiro de Paula Guirado Robson Luis Amorim Nadia Nader Magrini Manoel Jacobsen Teixeira |
| author_sort | Wellingson Silva Paiva |
| collection | DOAJ |
| description | Traumatic head injury is a common cause of mortality and acquired neurological impairment in children. However, pediatric epidural hematomas (EDHs) are not common and few series have studied the evolution of these patients. In this study, we present the results from a sample of patients with EDH with long-term follow-up. METHOD: Between January 2006 and December 2008, 49 patients with traumatic EDH were treated at our unit. Clinical course, radiological findings and outcomes were evaluated. Neurological status was assessed using the Glasgow Coma Scale (GCS). The patients' ages ranged from one day to 16 years. The mean follow-up was six months. RESULTS: On admission, most of the patients presented mild trauma and 57% had a GCS of 13-15. The most common symptom was irritability. The most frequent mechanisms of injury were: falling from a height in 29 cases and motor vehicle accidents in 16 cases. Three of these patients presented GCS 3, but only one died. We found a late neurological deficit in nine patients. CONCLUSION: These lesions may occur following mild head trauma and in alert children with nonfocal neurological examinations. However, in children presenting irritability with subgaleal hematomas and a history of loss of consciousness, skull computed tomography must be performed. |
| first_indexed | 2024-12-16T15:33:23Z |
| format | Article |
| id | doaj.art-b465ddf81a2b4bce8c868e5a4a5f6719 |
| institution | Directory Open Access Journal |
| issn | 1678-4227 |
| language | English |
| last_indexed | 2024-12-16T15:33:23Z |
| publishDate | 2010-12-01 |
| publisher | Academia Brasileira de Neurologia (ABNEURO) |
| record_format | Article |
| series | Arquivos de Neuro-Psiquiatria |
| spelling | doaj.art-b465ddf81a2b4bce8c868e5a4a5f67192022-12-21T22:26:17ZengAcademia Brasileira de Neurologia (ABNEURO)Arquivos de Neuro-Psiquiatria1678-42272010-12-0168688889210.1590/S0004-282X2010000600011S0004-282X2010000600011Management of supratentorial epidural hematoma in children: report on 49 patientsWellingson Silva Paiva0Almir Ferreira de Andrade1Luis Mathias Júnior2Vinicius Monteiro de Paula Guirado3Robson Luis Amorim4Nadia Nader Magrini5Manoel Jacobsen Teixeira6Universidade de São PauloUniversidade de São PauloUniversidade de São PauloUniversidade de São PauloUniversidade de São PauloUniversidade de São PauloUniversidade de São PauloTraumatic head injury is a common cause of mortality and acquired neurological impairment in children. However, pediatric epidural hematomas (EDHs) are not common and few series have studied the evolution of these patients. In this study, we present the results from a sample of patients with EDH with long-term follow-up. METHOD: Between January 2006 and December 2008, 49 patients with traumatic EDH were treated at our unit. Clinical course, radiological findings and outcomes were evaluated. Neurological status was assessed using the Glasgow Coma Scale (GCS). The patients' ages ranged from one day to 16 years. The mean follow-up was six months. RESULTS: On admission, most of the patients presented mild trauma and 57% had a GCS of 13-15. The most common symptom was irritability. The most frequent mechanisms of injury were: falling from a height in 29 cases and motor vehicle accidents in 16 cases. Three of these patients presented GCS 3, but only one died. We found a late neurological deficit in nine patients. CONCLUSION: These lesions may occur following mild head trauma and in alert children with nonfocal neurological examinations. However, in children presenting irritability with subgaleal hematomas and a history of loss of consciousness, skull computed tomography must be performed.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2010000600011&lng=en&tlng=encriançahematoma epiduraltrauma craniocerebral |
| spellingShingle | Wellingson Silva Paiva Almir Ferreira de Andrade Luis Mathias Júnior Vinicius Monteiro de Paula Guirado Robson Luis Amorim Nadia Nader Magrini Manoel Jacobsen Teixeira Management of supratentorial epidural hematoma in children: report on 49 patients Arquivos de Neuro-Psiquiatria criança hematoma epidural trauma craniocerebral |
| title | Management of supratentorial epidural hematoma in children: report on 49 patients |
| title_full | Management of supratentorial epidural hematoma in children: report on 49 patients |
| title_fullStr | Management of supratentorial epidural hematoma in children: report on 49 patients |
| title_full_unstemmed | Management of supratentorial epidural hematoma in children: report on 49 patients |
| title_short | Management of supratentorial epidural hematoma in children: report on 49 patients |
| title_sort | management of supratentorial epidural hematoma in children report on 49 patients |
| topic | criança hematoma epidural trauma craniocerebral |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2010000600011&lng=en&tlng=en |
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