Uncommon modes of presentation of head injury

Uncommon mode of presentation of head injury [UPHI] in children needs to be highlighted to create awareness amongst the treating surgeons and parents to prevent injuries to the growing brain. Records of 21 children aged between 6 months and 7 years admitted with UPHI between 2001 and 2003 were analy...
Ausführliche Beschreibung

Uncommon mode of presentation of head injury [UPHI] in children needs to be highlighted to create awareness amongst the treating surgeons and parents to prevent injuries to the growing brain. Records of 21 children aged between 6 months and 7 years admitted with UPHI between 2001 and 2003 were analyzed. Out of 21 children, 5 were ejected from their cars following head on collision, 4 children were hit by falling television sets, 3 were injured while reversing cars, 3 were hit by running ceiling fans, 2 were hit by siblings out of jealousy, 2 fell from laps of their teenaged mothers, 1 fell from camel back and 1 was victim of abuse. Nine children (42.8%) sustained severe head injury [SHI] presenting as diffuse brain injury, brain edema, acute subdural hematomas, or multiple contusions. Five (23.8%) children had moderate head injury [HI presenting with depressed fractures with associated contusions (2 cases) epidural hematomas, calavarial fractures, seizures and patient of child abuse had depressed with small epidural hematoma with subdural effusion. Seven children (33.3%) with mild HI showed depressed fractures associated with small epidural hematomas. Five out of 9 SHI patients died (55.6%) and four had moderate outcome (44.4%). Of the five patients with moderate HI two had moderate outcome (40%) and the remaining 60% had good outcome. Patients with minor injury became normal. If care is taken against above highlighted factors then mortality and morbidity can be reduced. Ausführliche Beschreibung