Incidental findings in brain computed tomography scans of 3000 head trauma patients

2005 ◽  
Vol 63 (6) ◽  
pp. 550-553 ◽  
Author(s):  
Hossein Eskandary ◽  
Mohammad Sabba ◽  
Foruzandeh Khajehpour ◽  
Mohammad Eskandari
Keyword(s):  
Computed Tomography ◽  
Head Trauma ◽  
Incidental Findings ◽  
Trauma Patients ◽  
Brain Computed Tomography ◽  
Computed Tomography Scans

scholarly journals Hyperglycemia in pediatric head trauma patients: a cross-sectional study

2009 ◽  
Vol 67 (3b) ◽  
pp. 804-806 ◽  
Author(s):  
José Roberto Tude Melo ◽  
Rodolfo Casimiro Reis ◽  
Laudenor Pereira Lemos-Júnior ◽  
Henrique Miguel Santos Coelho ◽  
Carlos Eduardo Romeu de Almeida ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Head Trauma ◽  
Cross Sectional Study ◽  
Cranial Computed Tomography ◽  
Trauma Patients ◽  
Severe Head Trauma ◽  
Sectional Study ◽  
Cross Sectional ◽  
Glucose Levels ◽  
Computed Tomography Scans

OBJECTIVE: To verify the prevalence of acute hyperglycemia in children with head trauma stratified by the Glasgow coma scale (GCS). METHOD: A prospective cross-sectional study carried out with information from medical records of pediatric patients presenting with head injury in the emergency room of a referral emergency hospital during a one year period. We considered the cut-off value of 150 mg/dL to define hyperglycemia. RESULTS: A total of 340 children were included and 60 (17.6%) had admission hyperglycemia. Hyperglycemia was present in 9% of mild head trauma cases; 30.4% of those with moderate head trauma and 49% of severe head trauma. We observed that among children with higher blood glucose levels, 85% had abnormal findings on cranial computed tomography scans. CONCLUSION: Hyperglycemia was more prevalent in patients with severe head trauma (GCS <8), regardless if they had or not multiple traumas and in children with abnormal findings on head computed tomography scans.

Incidental Findings on Computed Tomography Scans in Children With Mild Head Trauma

2012 ◽  
Vol 51 (9) ◽  
pp. 872-876 ◽  
Author(s):  
Henry W. Ortega ◽  
Heidi Vander Velden ◽  
Samuel Reid
Keyword(s):  
Computed Tomography ◽  
Head Trauma ◽  
Incidental Findings ◽  
Computed Tomography Scans

scholarly journals Skull radiographs and computed tomography scans in children and adolescents with mild head trauma

2008 ◽  
Vol 66 (3b) ◽  
pp. 708-710 ◽  
Author(s):  
José Roberto Tude Melo ◽  
Rodolfo Casimiro Reis ◽  
Laudenor Pereira Lemos-Júnior ◽  
Assuero Azevedo-Neto ◽  
Dalton Willy Santos Oliveira ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Emergency Department ◽  
Head Trauma ◽  
Pediatric Patients ◽  
Trauma Centre ◽  
Cranial Computed Tomography ◽  
Trauma Patients ◽  
Computed Tomography Scans ◽  
Skull Radiographs ◽  
Multiple Traumas

OBJECTIVE: To identify which pediatric patients with mild head trauma are candidates for skull radiographs or cranial computed tomography (CCT) scans. METHOD: Patients with mild head trauma aged from 0 to 19 years presenting to the Emergency Department of a trauma centre from Salvador City, Brazil, between May 2007 and May 2008. RESULTS: A total of 1888 mild head trauma patients were admitted; mean age was 7.4 (±5.5) years. A total of 1956 skull radiographs and 734 CCT scans were performed. About 44.4% patients with Glasgow coma score (GCS) 13 and 55.4% with GCS 14 had abnormal CCT scans. In patients with multiple traumas, 16% had abnormal findings on CCT scans. CONCLUSION: We strongly recommend routine CCT studies to patients with GCS of 13 and 14 or to multiple trauma victims, independently of score. Routine screening skull radiographs were not useful in the evaluation of mild head trauma patients in this study.

The Prevalence of Incidental Findings on Abdominal Computed Tomography Scans of Trauma Patients

2010 ◽  
Vol 38 (4) ◽  
pp. 484-489 ◽  
Author(s):  
Akpofure Peter Ekeh ◽  
Mbaga Walusimbi ◽  
Erin Brigham ◽  
Randy J. Woods ◽  
Mary C. McCarthy
Keyword(s):  
Computed Tomography ◽  
Incidental Findings ◽  
Trauma Patients ◽  
Abdominal Computed Tomography ◽  
Computed Tomography Scans

The Frequency of Random Findings on Abdominal / Pelvis Computed Tomography in Pediatric Trauma Patients

2020 ◽  
Vol 16 ◽  
Author(s):  
Betül Tiryaki Baştuğ
Keyword(s):  
Computed Tomography ◽  
Incidental Findings ◽  
Pediatric Population ◽  
Pediatric Trauma ◽  
Trauma Patients ◽  
Injured Child ◽  
Level 3 ◽  
Male Patients ◽  
Clinically Significant ◽  
Discharge Summaries

Aims: In this study, we aimed to find the percentage of random pathologies and abdominopelvic region anomalies that are not related to trauma in pediatric patients. Background: An abdominal assessment of an injured child usually involves computed tomography imaging of the abdomen and pelvis (CTAP) to determine the presence and size of injuries. Imaging may accidentally reveal irrelevant findings. Objectives: Although the literature in adults has reviewed the frequency of discovering these random findings, few studies have been identified in the pediatric population. Methods: Data on 142( 38 female, 104 male) patients who underwent CTAP during their trauma evaluation between January 2019 and January 2020 dates were obtained from our level 3 pediatric trauma center trauma records. The records and CTAP images were examined retrospectively for extra traumatic pathologies and anomalies. Results: 67 patients (47%) had 81 incidental findings. There were 17 clinically significant random findings. No potential tumors were found in this population. Conclusion: Pediatric trauma CTAP reveals random findings. For further evaluation, incidental findings should be indicated in the discharge summaries.

Delayed Epidural Hematoma Demonstrated by Computed Tomography

Neurosurgery ◽  
1982 ◽  
Vol 10 (4) ◽  
pp. 487-489 ◽  
Author(s):  
Z. Harry Rappaport ◽  
Itzchak Shaked ◽  
Rina Tadmor
Keyword(s):  
Computed Tomography ◽  
Ct Scan ◽  
Head Trauma ◽  
Epidural Hematoma ◽  
Neurological Deterioration ◽  
Trauma Patients ◽  
The Face ◽  
High Level

Abstract A case of delayed visualization of an acute parietal epidural hematoma by computed tomography (CT) in a child is presented. The initial CT 2½ hours after injury was negative. After neurological deterioration, a repeat CT scan 8 hours postinjury demonstrated a parietal epidural hematoma and a small cerebellar hematoma. The case demonstrates the need for a high level of vigilance in head trauma patients even in the face of an initially negative CT scan.

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