scholarly journals Does my child really need a CT Scan? A retrospective review of use of CT Scan in minor head trauma

2018 ◽  
Vol 3 (2) ◽  
Author(s):  
Kashgari A ◽  
Al Rajeh A ◽  
Abdulrahman S ◽  
Alrasheed E ◽  
AL Faleh H ◽  
...  
Keyword(s):  
Ct Scan ◽  
Head Trauma ◽  
Retrospective Review ◽  
Minor Head Trauma

Can a CT be Omitted in Pediatric Minor Head Trauma?

2017 ◽  
Vol 16 (01) ◽  
pp. 001-007
Author(s):  
Maria Sinzig ◽  
Eveline Achatz ◽  
Günter Fasching ◽  
Christoph Arneitz
Keyword(s):  
Computed Tomography ◽  
Ct Scan ◽  
Radiation Exposure ◽  
Head Trauma ◽  
Neurological Status ◽  
Ct Scans ◽  
Minor Head Trauma ◽  
Pediatric Ct ◽  
Ct Protocol ◽  
In Infants And Children

AbstractThis study aimed to evaluate the need for radiation exposure in pediatric minor head trauma. Symptomatic patients after minor head trauma were observed for at least 24 hours in a 13-month period. A computed tomography (CT) scan was performed on children with a depressed neurological status. Two hundred fourteen patients with a mean age of 9.3 years were included. An intracranial hemorrhage (ICH) was diagnosed in three (1.4%) patients. The overall CT rate was 10.7%. The study concluded that neuro-observation without initial CT scans is safe in infants and children following minor head trauma. Special pediatric CT protocol can limit radiation exposure.

EEG findings in minor head trauma as a clue for indication to CT scan

1989 ◽  
Vol 5 (3) ◽  
pp. 160-162 ◽  
Author(s):  
G. Liguori ◽  
L. Foggia ◽  
A. Buonaguro ◽  
M. Colucci ◽  
G. Cantone ◽  
...  
Keyword(s):  
Ct Scan ◽  
Head Trauma ◽  
Minor Head Trauma

scholarly journals Investigation of the Correlation between Scalp Hematoma and Cranial Fractures and Intracranial Lesions in Children Presenting with Minor Head Trauma

2021 ◽  
Author(s):  
Reza Nafisi Moghadam ◽  
Mehrdad Mansouri ◽  
Seyed Kazem Razavi ◽  
Nasim Namiranian ◽  
Mohammad Sobhan ◽  
...  
Keyword(s):  
Ct Scan ◽  
Head Trauma ◽  
Diffuse Axonal Injury ◽  
Data Gathering ◽  
Pediatric Emergency ◽  
Cross Sectional Study ◽  
Minor Head Trauma ◽  
Chi Square ◽  
Cross Sectional ◽  
Intracranial Lesions

Introduction: Minor head trauma is one of the common causes of pediatric reference to emergency ward. This study investigated the correlation between scalp hematoma,cranial fractures and intracranial lesions in children presenting with minor head traumata. Methods: This was a descriptive cross-sectional study. The data gathering were done in 2016-17. All children under 18 years of age (933 individuals) who referred to Shahid Rahnemoun Pediatric Emergency Center in Yazd with a complaint of minor head trauma and underwent a CT scan according to American Academy Criteria were included in the study. The mean age of the children was 11.67 years. CT scan of 209 patients (%22.41) reported scalp hematoma. A radiologist who did not have any information about the study was asked to interpret the CT scans using a predesigned checklist. Finally, the data were encoded into an Excel file and statistically analyzed by STATA10 software using Chi-square test and logistic regression. Results: The scalp hematoma was significantly related to intraventricular hemorrhage (P<0.001), subarachnoid hemorrhage (P<0.001), intracerebral hemorrhage (P<0.001), cerebral edema (P<0.001), subepidural hemorrhage (P<0.001), cerebral concussion (P<0.001), cerebral shift (P<0.001), pneumocephalus (P<0.001), and cranial fracture (P<0.001); however, scalp hematoma was not significantly related to diffuse axonal injury (P=0.27). Conclusion: Our findings confirmed the importance of presence of scalp hematoma in clinical assessment of children with minor head trauma aged less than 18 years. It is recommended that children with minor head trauma be treated and evaluated more in the emergency department more vigilantly and meticulously.

scholarly journals Does the evidence justify routine transfer of residents of aged care facilities for CT scan after minor head trauma?

2020 ◽  
Vol 50 (9) ◽  
pp. 1048-1052 ◽  
Author(s):  
Lorne Green ◽  
Lucy Selleck ◽  
Michael Gibbons ◽  
Sharon Klim ◽  
Peter Ritchie ◽  
...  
Keyword(s):  
Ct Scan ◽  
Head Trauma ◽  
Aged Care ◽  
Minor Head Trauma ◽  
Care Facilities ◽  
Aged Care Facilities

Utilizing clinical factors to reduce head CT scan ordering for minor head trauma patients

1997 ◽  
Vol 15 (4) ◽  
pp. 453-457 ◽  
Author(s):  
Erik C. Miller ◽  
James F. Holmes ◽  
Robert W. Derlet
Keyword(s):  
Ct Scan ◽  
Head Trauma ◽  
Trauma Patients ◽  
Minor Head Trauma ◽  
Clinical Factors ◽  
Head Ct

scholarly journals Indications of CT Scan after Minor Head Trauma in Children : Can Age Younger than 2 Years be a Risk Factor?

2010 ◽  
Vol 19 (6) ◽  
pp. 474-477 ◽  
Author(s):  
Mitsunori Ozaki ◽  
Yoshinobu Seo ◽  
Hirohiko Nakamura
Keyword(s):  
Risk Factor ◽  
Ct Scan ◽  
Head Trauma ◽  
Minor Head Trauma

scholarly journals Predictors of Positive Head CT Scan and Neurosurgical Procedures After Minor Head Trauma

2012 ◽  
Vol 173 (1) ◽  
pp. 31-37 ◽  
Author(s):  
Mehreen Kisat ◽  
Syed Nabeel Zafar ◽  
Asad Latif ◽  
Cassandra V. Villegas ◽  
David T. Efron ◽  
...  
Keyword(s):  
Ct Scan ◽  
Head Trauma ◽  
Neurosurgical Procedures ◽  
Minor Head Trauma ◽  
Head Ct

Stroke After Minor Head Trauma in Infants and Young Children With Basal Ganglia Calcification: A Lenticulostriate Vasculopathy?

2018 ◽  
Vol 33 (2) ◽  
pp. 146-152 ◽  
Author(s):  
Jatinder Singh Goraya ◽  
Shivankshi Berry ◽  
Kavita Saggar ◽  
Archana Ahluwalia
Keyword(s):  
Basal Ganglia ◽  
Ct Scan ◽  
Head Trauma ◽  
Brain Magnetic Resonance Imaging ◽  
Neurological Deficits ◽  
Minor Head Trauma ◽  
Basal Ganglia Calcification ◽  
Lost To Follow Up ◽  
Lenticulostriate Vasculopathy

The authors retrospectively reviewed charts of the children with basal ganglia stroke who either had preceding minor head injury or showed basal ganglia calcification on computed tomography (CT) scan. Twenty children, 14 boys and 6 girls were identified. Eighteen were aged between 7 months to 17 months. Presentation was with hemiparesis in 17 and seizures in 3. Preceding minor head trauma was noted in 18. Family history was positive in 1 case. Bilateral basal ganglia calcification on CT scan was noted in 18. Brain magnetic resonance imaging done in 18 infants showed acute or chronic infarcts in basal ganglia. Results of other laboratory and radiological investigations were normal. Four infants were lost to follow-up, 9 achieved complete or nearly completely recovery, and 7 had persistent neurological deficits. Basal ganglia calcification likely represents mineralized lenticulostriate arteries, a marker of lenticulostriate vasculopathy. Abnormal lenticulostriate vessels are vulnerable to injury and thrombosis after minor head trauma resulting in stroke.

scholarly journals Indications of Brain Computed Tomography Scan in Children Younger Than 3 Years of Age with Minor Head Trauma

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
İsmail Gülşen ◽  
Hakan Ak ◽  
Sevdegül Karadaş ◽  
İsmail Demır ◽  
Mehmet Deniz Bulut ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Emergency Department ◽  
Ct Scan ◽  
Head Trauma ◽  
Time Interval ◽  
Minor Head Trauma ◽  
Malpractice Litigation ◽  
Brain Computed Tomography ◽  
To Receive ◽  
The Brain

Objective. To investigate the indications to receive brain computed tomography (CT) scan and to define the pathological findings in children younger than three years of age with minor head trauma in emergency departments.Methods. In this study, hospital case notes of 1350 children attending the emergency department of Bitlis State Hospital between January 2011 and June 2013 were retrospectively reviewed. 508 children under 3 years of age with minor head trauma were included in this study. We also asked 37 physicians about the indications for requiring CT in these children.Results. This study included 508 children, 233 (45,9%) of whom were female and 275 were male. In 476 (93,7%) children, the brain CT was completely normal. 89,2% of physicians asked in the emergency department during that time interval reported that they requested CT scan to protect themselves against malpractice litigation.Conclusion. In infants and children with minor head trauma, most CT scans were unnecessary and the fear of malpractice litigation of physicians was the most common reason for requesting a CT.

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