A study of clinical profile of paediatric head injury
Journal Title: MedPulse -International Medical Journal - Year 2017, Vol 4, Issue 4
Abstract
Background: Trauma is the third leading cause of death in India, accounting for 9.6 percent of all deaths, whereas in case of children it is the third leading cause of death. Traumatic brain injury in children accounts for a large number of emergency department visits and hospital admissions and is reported to be the leading cause of death and disability in children around the world. Objectives: To study of clinical profile of paediatric head injury presenting to tertiary care center. Materials and method: A total 102 paediatric head injury were enrolled in the present study. All patients were analyzed and classified according to their age, sex, pattern of injury, symptoms and examination findings at the time of presentation, CT Brain findings (if done), Glasgow Coma score. Patients managed in either paediatric ward or paediatric intensive care unit depending upon their severity. Results: The incidence of head injury was two times more common in males (66.7%) compared to females (33.3%) and was more common in ≤ 5 years old children (45.1%). Fall from height was the most common cause (60.8%) of head injury in children followed by Accidents (25.5%). Vomiting (45.10%) and swelling (44.12%) were the most common presenting symptom. It was followed by altered sensorium (28.43%), seizures (24.51%), headache (21.57%) and associated injuries (21.57%). Majority of the patients were having the GCS score of >12 (62.75%) and ≤ 8 was in 10.78%. Skull fracture was the most common finding (29.73%) on CT scan. Cerebral edema was observed in 24.32% patients whereas normal report was observed in 21.625 patients. Conclusion: Thus we conclude that pediatric head injury in children was common in preschool male children. Fall from height and accidents were the most common cause of head injury. Vomiting and swelling were the most common presenting symptom. Skull fracture and cerebral edema was the most common finding on CT scan.
Authors and Affiliations
Ashwini B Kundalwal, Uday Gajare, Rishikesh Pardeshi, Anumeha Chaturvedi
Keywords
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