The Clinical Usefulness of Halo Sign on CT Image of Trauma Patients
Journal of the Korean Society of Traumatology
; : 83-89, 2007.
Article
in Ko
| WPRIM
| ID: wpr-78123
Responsible library:
WPRO
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.
Key words
Full text:
1
Database:
WPRIM
Main subject:
Scalp
/
Seizures
/
Skull
/
Skull Fractures
/
Unconsciousness
/
Vomiting
/
Brain
/
Brain Injuries
/
Tomography, X-Ray Computed
/
Incidence
Type of study:
Incidence_studies
/
Observational_studies
/
Prognostic_studies
Limits:
Child
/
Humans
Language:
Ko
Journal:
Journal of the Korean Society of Traumatology
Year:
2007
Document type:
Article