Çocukluk çağı kafa travmaları: 280 olgunun retrospektif değerlendirmesi [Ulus Travma Acil Cerrahi Derg]
Ulus Travma Acil Cerrahi Derg. 2005; 11(4): 310-317

Çocukluk çağı kafa travmaları: 280 olgunun retrospektif değerlendirmesi

Osman Şimşek1, Tufan Hiçdönmez1, M Kemal Hamamcıoğlu1, Cumhur Kılınçer1, Turgay Parsak1, Mehmet Tiryaki2, İmran Kurt2, Sebahattin Çobanoğlu1
1Trakya University Faculty of Medicine, Departments of Neurosurgery, Edirne, Turkey
2Trakya University Faculty of Medicine, Bioistatistics Edirne, Turkey
3Trakya University Faculty of Medicine, Bioistatistics Edirne, Turkey



Pediatric head injuries: a retrospective analysis of 280 patients

Osman Şimşek1, Tufan Hiçdönmez1, M Kemal Hamamcıoğlu1, Cumhur Kılınçer1, Turgay Parsak1, Mehmet Tiryaki2, İmran Kurt2, Sebahattin Çobanoğlu1
1Trakya University Faculty of Medicine, Departments of Neurosurgery, Edirne, Turkey
2Trakya University Faculty of Medicine, Bioistatistics Edirne, Turkey
3Trakya University Faculty of Medicine, Bioistatistics Edirne, Turkey

BACKGROUND: To assess etiological factors, clinical features, radiological findings and recovery rates in pediatric head injuries. METHODS: Patients (n =280) with head injuries (age range: 0 - 16 years) hospitalized in Trakya University Department of Neurosurgery between January 1995 and 2004 were analyzed statistically. RESULTS: According to Glasgow Coma Scale (GCS) the patients had minor (GCS: 13- 15 ; 70.1% ), moderate (GCS: 9- 12; 17,1% ), or severe (GCS: 3 to 8; 6,8% ). head injuries The most common etiological factor was fall from a height (34,3%); and the most frequently associated injury was extra-spinal skeletal injury (12,9%). Fifty-one patients (18,2%) underwent neurosurgical operation. 87.5% of them recovered completely, while 12,5% showed partial recovery or died, as graded by Glasgow Outcome Scale (GOS). There was a moderately strong correlation between initial GCS and GOS (r=0,53, p=0,01). CONCLUSIONS: Nearly half of the pediatric head injuries were caused by falls with good prognoses. In the school age, motor vehicle accident (MVA) was the most frequent trauma type. MVA was the most serious type of trauma as demonstrated by its low GCS and GOS scores. Polytraumas, subdural hematomas, cerebral contusions, subarachnoid or intracerebral hemorrhages, cerebral edemas, diffuse axonal injuries, and any cranial lesion which required surgery were found to be related with poor prognosis.



Osman Şimşek, Tufan Hiçdönmez, M Kemal Hamamcıoğlu, Cumhur Kılınçer, Turgay Parsak, Mehmet Tiryaki, İmran Kurt, Sebahattin Çobanoğlu. Pediatric head injuries: a retrospective analysis of 280 patients. Ulus Travma Acil Cerrahi Derg. 2005; 11(4): 310-317


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