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Nontraumatic Pediatric Head and Neck Emergencies: Resource for On-Call Radiologists
Alexandra M Foust1, Lindsey Johnstone1, Rekha Krishnasarma1
1From the Department of Radiology, Monroe Carell Jr Children's Hospital at Vanderbilt, 2200 Children's Way, Nashville, TN 37232 (A.M.F., L.J., R.K., D.C.M., E.S., T.T., S.P., A.S.); Department of Radiology, Phoenix Children's Hospital, Phoenix, AZ (J.V.); and Department of Radiology, Children's Hospital of Philadelphia, Philadelphia, PA (K.S.).
Insights
Radiologists can use this guide to diagnose acute, nontraumatic head and neck diseases in children. It covers common conditions, congenital anomalies, and infections, aiding timely diagnosis in emergency settings.
Area of Science:
- Radiology
- Pediatric Imaging
- Emergency Medicine
Background:
- Pediatric head and neck emergencies present unique challenges for radiologists.
- Congenital lesions and specific infection/neoplasm incidences differ from adults.
- Nonspecific presentations in pediatric patients necessitate accurate imaging interpretation.
Purpose of the Study:
- To provide a practical on-call resource for radiology trainees.
- To aid in the diagnosis of acute nontraumatic head and neck diseases in pediatric patients.
- To highlight key imaging findings, pitfalls, and mimics.
Main Methods:
- Review of common acute nontraumatic pediatric head and neck diseases.
- Organization of information by anatomical location.
- Inclusion of pearls, pitfalls, and mimics for differential diagnosis.
Main Results:
- A comprehensive overview of pediatric head and neck emergencies is presented.
- Key imaging features for various conditions are detailed.
- Differential diagnostic considerations are emphasized.
Conclusions:
- Accurate and timely diagnosis of pediatric head and neck emergencies is crucial.
- This resource assists radiologists in managing these complex cases.
- Familiarity with pediatric-specific conditions improves diagnostic accuracy.
Abstract:
The vast array of acute nontraumatic diseases encountered in the head and neck of pediatric patients can be intimidating for radiologists in training in a fast-paced emergency setting. Although there is some overlap of pediatric and adult diseases, congenital lesions and developmental variants are much more common in the pediatric population. Furthermore, the relative incidences of numerous infections and neoplasms differ between pediatric and adult populations. Young patients and/or those with developmental delays may have clinical histories that are difficult to elicit or nonspecific presentations, underscoring the importance of imaging in facilitating accurate and timely diagnoses. It is essential that radiologists caring for children be well versed in pediatric nontraumatic head and neck emergency imaging. The authors provide an on-call resource for radiology trainees, organized by anatomic location and highlighting key points, pearls, pitfalls, and mimics of many acute nontraumatic diseases in the pediatric head and neck. ©RSNA, 2024 Supplemental material is available for this article.
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