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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

자료유형
학술저널
저자정보
Jung, Sang-Won (Department of Neurosurgery, Keimyung University School of Medicine) Kim, Dong-Won (Department of Neurosurgery, Keimyung University School of Medicine)
저널정보
대한신경외과학회 대한신경외과학회지 대한신경외과학회지 제51권 제4호
발행연도
2012.1
수록면
215 - 218 (4page)

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Objective: Traumatic epidural hematomas (EDHs) in children are a relatively unusual occurrence. The cause and outcome vary depending on period and reg ion of study. The aims of this analysis were to review the cause and outcome of pediatric EDHs nowadays and to discuss outcome-related variables in a large consecutive series of surgically treated EDH in children. Methods: This is a retrospective review of 29 patients with surgically treated EDHs between Jan 2000 and February 2010. Patients' medical records, computed tomographic (Cl) scans, and, if performed, magnetic resonance imaging (MRI) were reviewed to define variables associated with outcome. Variables included in the analysis were age, associated severe intracranial injury, abnormal pupillary response, hematoma thickness, severity of head injury (Glasgow Coma Scale score), parenchymal brain injury, and diffuse axonal injury. Results: The mean (SO) age of the patients was 109 months (0-185 months). Most of the injuries with EDHs occurred in traffic accident (14 cases, 48.2%) and followed by slip down in 6 cases and falls in 6 cases. There were one birth injury and one unknown cause. EDHs in traffic accidents occurred in pedestrians hit by a motor vehicle, 9 cases; motorbike and car accidents, 5 cases and bicycle accidents, 1 case. The locations of hematoma were almost same in both sides (left side in 15 cases). Temporal lobe is the most common site of hematomas (13 cases, 44%). The mean size of the EDHs was 18 mm (range, 5-40 mm). Heterogeneous hematomas in CT scans were 20 cases (67%). Two patients were referred with unilateral or bilateral dilated pupil(s). There was enlargement of EDH in 5 patients (17%). All of them were heterogeneous hematomas in CT scans. Except for 4 patients, all EDHs were associated with skull fracture(s) (87%). There was no case of patient with major organ injury. CT or MRI revealed brain contusion in 5 patients, and diffuse axonal injury in one patient The mortality was zero, and the outcomes were excellent in 26 and good in 2 patients. None of the tested variables were found to have a prognostic relevance. Conclusion: Regardless of the EDH size, the clinical status of the patients, the abnormal pupillary findings, or the cause of injury, the outcome and prognosis of the patients with EDH were excellent.
#Traumatic epidural hematomas #EDHs) #Children #Cause #Outcome

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참고문헌 (13)

참고문헌 신청
Balmer B / 2006 / Conservative management of significant epidural haematomas in children / Childs Nerv Syst 22:363~367 google schola Barras CD / 2009 / Density and shape as CT predictors of intracerebral hemorrhage growth / Stroke 40:1325~1331 google schola Ben Abraham R / 2000 / Metabolic and clinical markers of prognosis in the era of CT imaging in children with acute epidural hematomas / Pediatr Neurosurg 33:70~75 google schola Browne GJ / 2002 / Isolated extradural hematoma in children presenting to an emergency department in Australia / Pediatr Emerg Care 18:86~90 google schola Bullock MR / 2006 / Surgical management of acute epidural hematomas / Neurosurgery 58:7~15 google schola

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