Biochemical Markers of Cerebral Injury in Patients with Minor Head Trauma and Ethanol Intoxication

The objective of present study is to evaluate mechanisms and causes of head trauma, factors influencing management of pediatric minor head trauma, to highlight decision making processes in diagnostic imaging as well as searching for preventive measures for head trauma. Children younger than two years of age who were admitted to emergency department in one-year study period due to minor head trauma were included to the study. To be inside or outside of house did not significantly change the incidence of falls for children younger than two years of age (p=0.096). Incidence of falls was significantly increased at living rooms (p=0.01) and bathrooms (p=0.036). Incidence of scalp hematomas was significantly higher in symptomatic patients (p=0.006). Asymptomatic admission after a minor injury was not a significant factor on decision of diagnostic imaging. A patient’s asymptomatic presentation should not be used as a criterion to rule out cerebral injuries. A lack of obvious signs and symptoms during evaluation does not exclude TBI. Existing serious symptoms should lead to a quick evaluation of patient to rule out a possible surgical emergency. Scalp hematomas are significantly associated with cerebral injury and are a predictor of brain injury. Clinicians should have a lower threshold for imaging in children<2 years of age.

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The prognostic value of EEG in children with minor head trauma

Neuropediatrics ◽

10.1055/s-0029-1215831 ◽

2008 ◽

Vol 39 (05) ◽

Author(s):

I Oster ◽

S Meyer ◽

MG Shamdeen ◽

L Gortner

Keyword(s):

Head Trauma ◽

Prognostic Value ◽

Minor Head Trauma

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Minor Head Trauma in the Pediatric Emergency Department: Decision Making Nodes

Current Pediatric Reviews ◽

10.2174/1573396313666170404113214 ◽

2018 ◽

Vol 13 (2) ◽

Author(s):

Mario Mastrangelo ◽

Fabio Midulla

Keyword(s):

Decision Making ◽

Emergency Department ◽

Head Trauma ◽

Pediatric Emergency ◽

Pediatric Emergency Department ◽

Minor Head Trauma

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Isolated basilar artery occlusion by parietal dissection after severe chest and minor head trauma

The American Journal of Emergency Medicine ◽

10.1016/s0735-6757(98)90231-5 ◽

1998 ◽

Vol 16 (6) ◽

pp. 614-616 ◽

Cited By ~ 3

Author(s):

Massimo Gallerani ◽

Vanni Veronesi ◽

Stefano Ceruti ◽

Giorgio Mantovani ◽

Reza Ghadirpour

Keyword(s):

Head Trauma ◽

Basilar Artery ◽

Artery Occlusion ◽

Basilar Artery Occlusion ◽

Minor Head Trauma

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R1352Q CACNA1A Variant in a Patient with Sporadic Hemiplegic Migraine, Ataxia, Seizures and Cerebral Oedema: A Case Report

Case Reports in Neurology ◽

10.1159/000512275 ◽

2021 ◽

pp. 123-130

Author(s):

Anker Stubberud ◽

Emer O’Connor ◽

Erling Tronvik ◽

Henry Houlden ◽

Manjit Matharu

Keyword(s):

Mental Retardation ◽

Case Report ◽

Genetic Testing ◽

Head Trauma ◽

Cerebral Oedema ◽

De Novo ◽

Minor Head Trauma ◽

Hemiplegic Migraine ◽

Wide Range ◽

History Of

Mutations in the CACNA1A gene show a wide range of neurological phenotypes including hemiplegic migraine, ataxia, mental retardation and epilepsy. In some cases, hemiplegic migraine attacks can be triggered by minor head trauma and culminate in encephalopathy and cerebral oedema. A 37-year-old male without a family history of complex migraine experienced hemiplegic migraine attacks from childhood. The attacks were usually triggered by minor head trauma, and on several occasions complicated with encephalopathy and cerebral oedema. Genetic testing of the proband and unaffected parents revealed a de novo heterozygous nucleotide missense mutation in exon 25 of the CACNA1A gene (c.4055G>A, p.R1352Q). The R1352Q CACNA1A variant shares the phenotype with other described CACNA1A mutations and highlights the interesting association of trauma as a precipitant for hemiplegic migraine. Subjects with early-onset sporadic hemiplegic migraine triggered by minor head injury or associated with seizures, ataxia or episodes of encephalopathy should be screened for mutations. These patients should also be advised to avoid activities that may result in head trauma, and anticonvulsants should be considered as prophylactic migraine therapy.

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Seizure After Minor Head Trauma: A Red Herring?

Clinical Pediatrics ◽

10.1177/0009922820941643 ◽

2020 ◽

Vol 60 (1) ◽

pp. 64-66

Author(s):

Olivia R. Avidan ◽

Kasra Tayebi ◽

Kamil Del Toro ◽

Rajasekharan Warrier

Keyword(s):

Head Trauma ◽

Minor Head Trauma

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Pediatric Minor Head Trauma: Factors Affecting the Anxiety of Parents

Clinical Pediatrics ◽

10.1177/00099228211009678 ◽

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.

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