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Postraumatic intracranial hematomas in infancy. a 16-year experience.
E J Herrera1, J C Viano, I L Aznar
1Department of Surgery, Hospital Infantil Municipal de Córdoba, Republic of Argentina. pediatria@mensajes.com
Summary
This study analyzed pediatric post-traumatic intracranial hematomas, finding higher incidence in boys and identifying falls and vehicle accidents as primary causes. Morbidity and mortality rates were 9.7% and 17.7% respectively.
Area of Science:
- Pediatric Neurosurgery
- Trauma Surgery
- Epidemiology
Background:
- Post-traumatic intracranial hematomas (ICH) in children present unique epidemiological and clinical challenges.
- Understanding these aspects is crucial for effective management and prevention strategies in pediatric head injuries.
Purpose of the Study:
- To investigate the epidemiological characteristics of pediatric post-traumatic intracranial hematomas.
- To analyze the causes, clinical presentations, and outcomes of these injuries in children.
Main Methods:
- Retrospective descriptive analysis of 113 pediatric patients with post-traumatic ICH requiring surgery.
- Data collected included age, sex, injury mechanism, clinical signs, diagnosis, and outcomes (morbidity, mortality).
Main Results:
- Higher incidence observed in boys (73.5%) with a mean age of 6 years 5 months.
- Falls (36.3%) and vehicle accidents (33.6%) were the leading causes of craniocerebral trauma.
- Extradural hematomas (66.4%) were most common, with morbidity at 9.7% and mortality at 17.7%.
Conclusions:
- Pediatric post-traumatic ICH disproportionately affects boys, with falls and vehicle accidents being significant injury mechanisms.
- Prompt clinical presentation and timely surgical intervention are critical, though significant morbidity and mortality persist.