Predictive value of early radiological findings in inflicted traumatic brain injury

Acta Paediatrica
Koji TanoueNoriko Aida

Abstract

The aim of this study was to evaluate the value of early radiological investigations in predicting the long-term neurodevelopmental outcome of patients with inflicted traumatic brain injury (ITBI). In 28 patients with ITBI, radiological investigations were performed during the acute phase of injury (0-3 days) and during the early post-injury phase (4 days to 1 month). The clinical outcome in survivors (n = 24) was based on the Glasgow Outcome Score. Four of 28 infants died and five were severely disabled. Six infants had moderate disability. Detection of changes in the basal ganglia (p < 0.000005) or brainstem (p < 0.01), diffuse oedema (p < 0.005), transtentorial herniation (p < 0.01), subarachnoid haemorrhage (p < 0.05) or parenchymal injury (p < 0.05) by neuroimaging during the first 3 days, and detection of changes in the basal ganglia (p < 0.0005) or brainstem (p < 0.05) or parenchymal injury (p < 0.01) during 1 month were significantly associated with poor long-term outcome. Radiological findings during the first month were significantly associated with the long-term outcome. Especially, basal ganglia lesions were associated with a poor outcome.

References

Jun 1, 1990·American Journal of Diseases of Children·R AlexanderT Bennett
Dec 1, 1986·The Journal of Pediatrics·R C AlexanderW L Smith
Jun 1, 1985·Developmental Medicine and Child Neurology·Y FrankN M Leeds
Sep 1, 1985·Radiology·S J FitchI L Tonkin
Dec 1, 1983·AJR. American Journal of Roentgenology·B O KjosR G Young
Oct 1, 1993·Developmental Medicine and Child Neurology·J K Brown, R A Minns
Jun 1, 1996·Pediatric Neurosurgery·A C DuhaimeT Seidl
Mar 13, 1998·Archives of Disease in Childhood·J Haviland, R I Russell
Oct 30, 1998·Pediatric Neurosurgery·M S DiasV Li
Feb 15, 2000·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·L Ewing-CobbsB Alpert
Nov 15, 2000·Lancet·K M Barlow, R A Minns
Apr 18, 2002·European Radiology·P DemaerelG Wilms
Oct 3, 2003·Pediatrics·Christine BonnierGuillaume Sébire
Jan 5, 2008·Developmental Medicine and Child Neurology·Daune L MacGregor
Jan 5, 2008·Developmental Medicine and Child Neurology·Waney Squier
Oct 6, 2010·Pediatrics·Alex V Levin

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Citations

Dec 17, 2014·Pediatric Radiology·Mathilde P Chevignard, Katia Lind
May 2, 2013·Acta Paediatrica·Koji TanoueKiyoshi Matsui
May 13, 2014·Journal of Veterinary Internal Medicine·E BeltranL De Risio

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