J Korean Soc Traumatol.  2014 Sep;27(3):63-70. 10.0000/jti.2014.27.3.63.

The Use of Brain Computer Tomography Examination with Mild Traumatic Brain Injury in Pediatrics

• Kim HK
• Kim JJ
• Cho JS
• Jang JH
• Yang HJ
• Lee G

• KMID: 2224101
• DOI: http://doi.org/10.0000/jti.2014.27.3.63

Abstract

PURPOSE
In children, mild traumatic brain injuries (TBI) account for 70~90% of head injuries. Without guidelines, many of these children may be exposed to excess radiation due to unnecessary imaging. The purpose of this study was to evaluate the impact of a mild TBI guideline in imaging of pediatric patients.
METHODS
The medical records of all children who had head computed tomography and were admitted to our hospital with a TBI with Pediatric Glasgow Coma Scale and Glasgow Coma Scale of 14 to 15 were retrospectively reviewed and compared with PECARN Rule.
RESULTS
A total of 1260 children were included and all children checked with head computed tomography. 61 pediatrics had CT positive and presented skull fracture 40, hemorrhage 8, hemorrhagic contusion 7, and diffuse axonal injury 1. Also, 4 patients diagnosed both skull fracture and brain haemorrhage and 1 patient diagnosed both haemorrhage and haemorrhagic contusion.
CONCLUSION
There are many pediatric traumatic patients who exposed to radiation due to CT. But, the most of results were negative. So, consider to follow the CT guideline for children and many do not require brain CT.

Keyword

Traumatic brain injury; Pediatrics; Computed tomography; Radiation

MeSH Terms

Brain Injuries*
Brain*
Child
Contusions
Craniocerebral Trauma
Diffuse Axonal Injury
Glasgow Coma Scale
Head
Hemorrhage
Humans
Medical Records
Pediatrics*
Retrospective Studies
Skull Fractures