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Pediatric head traumas: A different perspective
Soner Yaşar1, Alparslan Kırık1, Mehmet Ozan Durmaz1
1Department of Neurosurgery, University of Health Sciences, Gülhane Faculty of Medicine, Ankara-Turkey.
Insights
Pediatric head trauma is common, but children have lower mortality rates than adults. Conservative treatment is preferred, with surgery reserved for severe cases of pediatric head injury.
Area of Science:
- Pediatric Traumatology
- Neuroscience
- Clinical Outcomes
Background:
- Head trauma is a significant concern in pediatric populations.
- Understanding injury patterns and outcomes is crucial for effective management.
Purpose of the Study:
- To present a series of pediatric head trauma cases.
- To analyze treatment outcomes and compare them with existing literature.
Main Methods:
- Retrospective review of pediatric head trauma cases (2010-2019).
- Analysis of clinical presentation, radiological findings, treatment, and outcomes.
Main Results:
- 90 children treated for head trauma; 60 male, 30 female; mean age 6.6 years.
- Common injuries included linear skull fractures (55) and epidural hematomas (15).
- 70 patients received conservative treatment, 20 underwent surgery; no mortality, 3 required rehabilitation for deficits.
Conclusions:
- Children are susceptible to head trauma but exhibit lower mortality than adults.
- Conservative management is the primary approach for pediatric head trauma.
- Surgical intervention is indicated for significant hematomas and neurological decline.
Background:
We aim to present our series on pediatric head traumas and discuss our results with the current literature.
Methods:
The data of children who underwent treatment for head trauma in our department between 2010 and 2019 were retrospectively reviewed. Their clinical condition at admission, radiological findings, treatment methods and outcomes were analyzed.
Results:
Ninety children underwent treatment for head trauma, 60 of them were male and 30 were female. The mean age was 6.6 years. Linear skull fracture was seen 55 patients, while epidural hematoma in 15 patients. Twenty patients underwent surgical treatment, while 70 patients underwent conservative treatment. No patient died in our series, three patients underwent rehabilitation due to neurological deficits after discharge.
Conclusion:
Children were more prone to head trauma, but their mortality was less than the adults. Conservative treatment should be the first goal, but surgical management should be reserved for children with significant hematoma and declining neurological conditions.

