29.Neuroimaging of Subdural Findings with Traumatic Brain Injury in Children
Muhammad Amin, Mahwish Zahra, Umaima Majeed, Sahar Javed, Amena Maqsood and Manal Ashraf
ABSTRACT
Objective: To assess the frequency of findings (Neuroimaging and Neurological) in children with traumatic
brain injury.
Study Design: A longitudinal study
Place and Duration of Study: This study was conducted at the Neurology & Radiology Department in Children Hospital & Institute of Child Health Multan from July 2020 to December 2020.
Materials and Methods: Children from 3 months to 7 years hospitalized for traumatic brain injury were included in the study. The CT/MRI scans of the participants were collected and reviewed by radiologists who were blind to the study. Neuroimaging findings like skull fracture, parenchymal involvement, extra axial collection, hygroma and soft tissue swelling were ruled out. Among neurological aspects seizures, hemiparesis and cranial nerve abnormality were reported if present. Based on medical records/history the children were grouped under the category of inflicted and non-inflicted traumatic brain injury.
Results: The neuroimaging findings were analyzed for both groups. “Inflicted Traumatic brain injury” group was quite young at the time of injury as compared to non-inflicted group (p<0.001). Subdural hematomas were ruled out in only 1 child among inflicted traumatic brain injury patients. However, 25% of the patients among non-inflicted traumatic brain injury group patients were diagnosed to have Epidural hematomas (p<0.04)” Parenchymal involvement, intracerebral hematomas” were present in 35% of the non-inflicted Traumatic brain injury group and 10% of the inflicted traumatic brain injury group (p<0.04). Cerebral atrophy was diagnosed on CT/MRI scan of 40% children among inflicted Traumatic brain injury (p<0.004). Shear injury on the contrary was only found associated with 20% of the non-inflicted Traumatic brain injury group (p<0.04). Subdural hygromas were visualized among 20% of children in inflicted Traumatic brain injury and only 5% in non-inflicted Traumatic brain injury.
Conclusion: A high frequency of subdural findings on neuroimaging is associated with inflicted traumatic injury in children.
Key Words: Neuroimaging, Neurological, Traumatic brain injury, Non-Traumatic brain injury, Hematomas
Citation of article: Amin M, Zahra M, Majeed U, Javed S, Maqsood A, Ashraf M. Neuroimaging of Subdural Findings with Traumatic Brain Injury in Children. Med Forum 2021;32(11):120-124.