PEDIATRIC TRAUMATIC BRAIN INJURY TREATED AT NGHE AN OBSTETRICS AND PEDIATRICS HOSPITAL
Main Article Content
Abstract
Objectives: To assess some clinical characteristics and lesions on CT scan of pediatric
traumatic brain injury treated at the Department of Traumato Orthopaedic - Burn, Nghe An
Obstetrics and Pediatrics Hospital.
Methods: Cross-sectional descriptive study on 114 cases of traumatic brain injury in children
treated at Nghe An Obstetrics and Pediatrics Hospital from January to July 2022.
Results: 70 males (61.4%), 44 females (38,6%), Median age 6.3 ± 3.4 , youngest: 6 month
years old, oldest: 15 years old. Home accidents, the most common cause, accounted for (54.4%).
The rate of minor traumatic brain injury according to GCS: 112 patients (98.2%); moderate: 1
patients (0.9%). CTscan: skull fracture (68.4%); epidural hematoma (39.5%); both these lesions
(30.7%). Management attitude: Conservative treatment for 104 patients (91.2%); surgery for 10
patients (8.8%). Discharge results: Good-112 patients (98.2%). No deaths.
Conclusions: The cause of traumatic brain injury in children due to home accidents and traffic
accidents is still high; Primary school age accounts (6 - 10) for the highest percentage, so it is
necessary to pay more attention to this subject to reduce the rate of trauma in general and traumatic
brain injury in particular.
Article Details
Keywords
Traumatic brain injury; traumatic brain injury in children; treatment of traumatic brain injury.
References
cận lâm sàng và kết quả điều trị máu tụ trong sọ
ở trẻ nhỏ do chấn thương sọ não”. Luận văn tốt
nghiệp thạc sĩ ngoại khoa, Đại học Y Hà Nội,
2018.
2. Phạm Tỵ, “Chấn thương sọ não không có chỉ
định phẫu thuật ở trẻ em”, tạp chí Y học Việt
Nam, tháng 5, số 2/2010.
3. Satapathy MC, Dash D, Mishra SS et al.,
Spectrum and outcome of traumatic brain injury
in children <15 years: A tertiary level experience
in India. International Journal of Critical Illness
and Injury Science, 6(1), 16, 2016.
4. Kaur P., Sharma S., Recent Advances in
Pathophysiology of Traumatic Brain Injury.
Curr Neuropharmacol, 16(8), 1224-1238, 2018.
5. Dewan MC, Mummareddy N, Wellons JC et
al., Epidemiology of Global Pediatric
Traumatic Brain Injury: Qualitative Review.
World
Neurosurg, 91, 497-509.e1, 2016.
6. Araki T., Yokota H., Morita A., Pediatric
Traumatic Brain Injury: Characteristic Features,
Diagnosis, and Management. Neurol Med Chir
(Tokyo), 57(2), 82-93, 2017.
7. Coulter IC, Forsyth RJ, Paediatric traumatic
brain injury. Curr Opin Pediatr, 31(6), 769-
774, 2019.
8. Follow-up of Conservatively Managed
Epidural Hematomas: Implications for Timing
of Repeat CT American Journal of
Neuroradiology.