Skull x-ray examinations after head trauma

1987 ◽  
Vol 16 (5) ◽  
pp. 596
Author(s):  
Lawrence Chu
Keyword(s):  
Head Trauma ◽  
X Ray

Pediatric Minor Head Trauma: Factors Affecting the Anxiety of Parents

2021 ◽  
pp. 000992282110096
Author(s):  
Hasan Aldinc ◽  
Cem Gun ◽  
Serpil Yaylaci ◽  
Erol Barbur
Keyword(s):  
Computed Tomography ◽  
Head Trauma ◽  
Pediatric Patients ◽  
Positive Impact ◽  
Cranial Computed Tomography ◽  
Sufficient Information ◽  
Minor Head Trauma ◽  
Computed Tomography Imaging ◽  
Factors Affecting ◽  
X Ray

Managing the anxiety of the parents of pediatric patients with head trauma is challenging. This study aimed to examine the factors that affect anxiety levels of parents whose children were admitted to the emergency department with minor head trauma. In this prospective study, the parents of 663 consecutive pediatric patients were invited to answer a questionnaire. Parents of 600 children participated in the study. The parents who believed they were provided sufficient information and who were satisfied with the service received had significantly more improvement in anxiety-related questions. Cranial X-ray assessment had a significantly positive impact on the anxiety of the parents, whereas cranial computed tomography and neurosurgery consultation did not. In assessing pediatric minor head trauma, cranial computed tomography imaging and neurosurgery consultation should not be expected to relieve the anxiety of the parents. However, adequately informing them and providing satisfaction are the factors that could lead to improvement.

scholarly journals Reducing radiation exposure in newborns with birth head trauma

2017 ◽  
Vol 5 (4) ◽  
pp. 24-30
Author(s):  
Irina A. Kriukova ◽  
Evgeniy Y. Kriukov ◽  
Danil A. Kozyrev ◽  
Semen A. Sotniкov ◽  
Dmitriy A. Iova ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Radiation Exposure ◽  
Head Trauma ◽  
Bone Structure ◽  
Bone Fractures ◽  
Diagnostic Methods ◽  
Cranial Bone ◽  
X Ray ◽  
Reduce Radiation Exposure ◽  
Risk Of Cancer

Background. Birth head trauma causing intracranial injury is one of the most common causes of neonatal mortality and morbidity. In case of suspected cranial fractures and intracranial hematomas, diagnostic methods involving radiation, such as x-ray radiography and computed tomography, are recommended. Recently, an increasing number of studies have highlighted the risk of cancer complications associated with computed tomography in infants. Therefore, diagnostic methods that reduce radiation exposure in neonates are important. One such method is ultrasonography (US). Aim. We evaluated US as a non-ionizing radiation method for diagnosis of cranial bone fractures and epidural hematomas in newborns with cephalohematomas or other birth head traumas. Material and methods. The study group included 449 newborns with the most common variant of birth head trauma: cephalohematomas. All newborns underwent transcranial-transfontanelle US for detection of intracranial changes and cranial US for visualization of bone structure in the cephalohematoma region. Children with ultrasonic signs of cranial fractures and epidural hematomas were further examined at a children’s hospital by x-ray radiography and/or computed tomography. Results and discussion. We found that cranial US for diagnosis of cranial fractures and transcranial-transfontanelle US for diagnosis of epidural hematomas in newborns were highly effective. In newborns with parietal cephalohematomas (444 children), 17 (3.8%) had US signs of linear fracture of the parietal bone, and 5 (1.1%) had signs of ipsilateral epidural hematoma. Epidural hematomas were visualized only when US was performed through the temporal bone and not by using the transfontanelle approach. Sixteen cases of linear fractures and all epidural hematomas were confirmed by computed tomography. Conclusion. The use of US diagnostic methods reduced radiation exposure in newborns with birth head trauma. US methods (transcranial-transfontanelle and cranial) can be used in screening for diagnosis and personalized monitoring of changes in birth head trauma as well as to reduce radiation exposure.

Skull X-Ray Examinations after Head Trauma

1987 ◽  
Vol 316 (2) ◽  
pp. 84-91 ◽  
Author(s):  
Stuart J. Masters ◽  
Philip M. McClean ◽  
Joseph S. Arcarese ◽  
Reynold F. Brown ◽  
John A. Campbell ◽  
...  
Keyword(s):  
Head Trauma ◽  
X Ray

scholarly journals Posttraumatic Cranial Cystic Fibrous Dysplasia

2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
Arata Tomiyama ◽  
Kazuya Aoki ◽  
Haruo Nakayama ◽  
Hideaki Izukura ◽  
Hitoshi Kimura ◽  
...  
Keyword(s):  
Fibrous Dysplasia ◽  
Head Trauma ◽  
Bony Defect ◽  
Total Removal ◽  
Radiographic Findings ◽  
X Ray ◽  
Cystic Changes ◽  
Subcutaneous Mass ◽  
Magnetic Resonance Imaging Mri ◽  
The Relationship

A 14-year-old was girl admitted to our hospital with a subcutaneous mass of the occipital head. The mass had grown for 6 years, after she had sustained a head injury at the age of 6, and was located directly under a previous wound. Skull X-ray Photograph (xp), computed tomography (CT), and magnetic resonance imaging (MRI) showed a bony defect and cystic changes in the skull corresponding to a subcutaneous mass. Bone scintigraphy revealed partial accumulation. The patient underwent total removal of the skull mass, and the diagnosis from the pathological findings of the cyst wall was fibrous dysplasia (FD). The radiographic findings for cystic cranial FD can be various. Progressive skull disease has been reported to be associated with head trauma, but the relationship between cranial FD and head trauma has not been previously reported. Previous studies have suggested thatc-fosgene expression is a key mechanism in injury-induced FD.

Is a skull X-ray necessary after milder head trauma?

1991 ◽  
Vol 5 (2) ◽  
pp. 135-139 ◽  
Author(s):  
J. Rosenørn ◽  
B. Duus ◽  
K. Nielsen ◽  
K. Kruse ◽  
T. Boesen
Keyword(s):  
Head Trauma ◽  
X Ray

Skull X-ray examinations after head trauma

1987 ◽  
Vol 5 (5) ◽  
pp. 436
Author(s):  
Mike Korpics
Keyword(s):  
Head Trauma ◽  
X Ray

scholarly journals Over Use of Ionisation Radiation Imaging With Paediatric Head Trauma

2020 ◽  
Author(s):  
Ahmad Gharaibeh ◽  
Mahmoud Gharaibeh ◽  
Ahmed Alwadiya ◽  
Robert Cellar ◽  
Antonia Lackova ◽  
...  
Keyword(s):  
Head Trauma ◽  
Age Groups ◽  
Trauma Management ◽  
Radiographic Images ◽  
Intracranial Haematoma ◽  
X Ray ◽  
Radiation Imaging ◽  
Paediatric Patients ◽  
Paediatric Age ◽  
Head Area

Abstract Purpose: Is to determinate the incidence of paediatric head trauma age 0-17 years in our region in central Europe and the number of radiographic images done for paediatric patients to make a data base for further researches, to be effective in investigating, controlling, and preventing head trauma in our population and to study the real need of radiographic images: Methods: This is a retrospective study from the records of children with head trauma seen at the trauma clinics during the year 2018 Results: There were 3261 attendees recorded in paediatric age groups 0-17 years in 2018. 1168 paediatric patients presented with trauma to the head. 831 (36%) with simple injuries of the head, 295 (23.3%) with wounds in head area, 17 (1.5%) children had fractures, 23 (2%) had concussion and 2 (0.2%) patients had intracranial haematoma. 1097 (93.9%) children with head trauma were imaged by X ray (1032 patients) and CT scan (65 patients) in accordance with local guidelines for head trauma management. The percentage of patients in need of radiation is only 3.42%.Conclusion: Most head trauma in children was minor and not associated with brain injury. The radiation is over used in diagnosis of paediatric head trauma

Head Trauma for the Pediatrician

PEDIATRICS ◽  
1978 ◽  
Vol 62 (5) ◽  
pp. 819-825
Author(s):  
Harvey S. Singer ◽  
John M. Freeman
Keyword(s):  
Head Trauma ◽  
Surgical Intervention ◽  
Early Recognition ◽  
Skull Fracture ◽  
Trauma Management ◽  
Minor Head Trauma ◽  
X Ray ◽  
Neurologic Function ◽  
Optimal Approach

A physician's concern about continued or progressive alteration in consciousness or neurologic function will result in the early recognition of head trauma complications that require medical or surgical intervention. The role of the pediatrician following "minor" head trauma is to serve as the overseer, coordinating observations and providing informed decisions on the necessity of additional medical or diagnostic requirements. This article provides an approach to handling the patient with mild head trauma based upon our experiences and interpretations of the literature. In conclusion, we emphasize the following points: (1) patients with head trauma, especially if associated with loss of consciousness, should be examined and subsequently evaluated by reliable observers; (2) skull x-ray films rarely provide information that affects medical management; (3) deterioration in the patient's clinical condition demands consultation and appropriate neuroradiologic studies; (4) the presence of a seizure or basilar skull fracture does not in itself necessitate therapy; and (5) continued evaluation of head trauma management is required to determine the optimal approach.

Space and Time Distribution of Hard X-Ray Emission in a Loop at the Beginning of a Flare

1994 ◽  
Vol 144 ◽  
pp. 275-277
Author(s):  
M. Karlický ◽  
J. C. Hénoux
Keyword(s):  
Time Distribution ◽  
Electron Bombardment ◽  
Spatial Evolution ◽  
Superthermal Electrons ◽  
Flare Loop ◽  
X Ray ◽  
Superthermal Electron ◽  
Flare Loops ◽  
Chromospheric Evaporation ◽  
Temporal And Spatial

AbstractUsing a new ID hybrid model of the electron bombardment in flare loops, we study not only the evolution of densities, plasma velocities and temperatures in the loop, but also the temporal and spatial evolution of hard X-ray emission. In the present paper a continuous bombardment by electrons isotropically accelerated at the top of flare loop with a power-law injection distribution function is considered. The computations include the effects of the return-current that reduces significantly the depth of the chromospheric layer which is evaporated. The present modelling is made with superthermal electron parameters corresponding to the classical resistivity regime for an input energy flux of superthermal electrons of 109erg cm−2s−1. It was found that due to the electron bombardment the two chromospheric evaporation waves are generated at both feet of the loop and they propagate up to the top, where they collide and cause temporary density and hard X-ray enhancements.

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