The Clinical Usefulness of Halo Sign on CT Image of Trauma Patients
Journal of the Korean Society of Traumatology
;
: 83-89, 2007.
Article
in Korean
| WPRIM
| ID: wpr-78123
ABSTRACT
PURPOSE:
This research was performed to determine which clinical signs and symptoms of brain injury are sensitive indicators of skull fracture (SF) and intracranial injury (ICI) in head injured children.METHODS:
We conducted a prospective study of minor head trauma in children younger than 2 years of age for a 1-year period. Skull radiographs, brain computed tomography (CT), and data forms, including mechanism of injury, symptoms, physical findings, and hospital course, were completed for each child.RESULTS:
Of 137 study subjects, 17 (12.4%) had SF/ICI. Falls were the most common mechanism of injury, and heights of fall above 1 meter were associated with incidence of SF/ICI (p<0.05). Scalp abnormalities were not associated with incidence of SF/ICI. As for clinical symptoms, lethargy and a grouping of features (irritability & vomiting) were associated with incidence of SF/ICI (p<0.05). The incidence of seizure, loss of consciousness, vomiting, irritability, and scalp abnormality did not differ significantly between those with normal radiologic findings and those with SF/ICI. Among asymptomatic patients, 11 (14.5%) patients had SF/ICI, and among patients with normal scalp findings, 9 (12.7%) patients had SF/ICI.CONCLUSION:
Clinical signs and symptoms, except for lethargy and a grouping of features (irritability & vomiting), were not sensitive predictors of SF/ICI. Nevertheless, SF/ICI occurred among normal children. In such a case, a liberal policy of CT scanning is warranted.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Scalp
/
Seizures
/
Skull
/
Skull Fractures
/
Unconsciousness
/
Vomiting
/
Brain
/
Brain Injuries
/
Tomography, X-Ray Computed
/
Incidence
Type of study:
Incidence study
/
Observational study
/
Prognostic study
Limits:
Child
/
Humans
Language:
Korean
Journal:
Journal of the Korean Society of Traumatology
Year:
2007
Type:
Article
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