Pediatric blunt carotid injury: a review of the National Pediatric Trauma Registry.

Abstract:

:Blunt carotid injury (BCI) is an uncommon yet potentially devastating entity which has received little attention in the pediatric literature. In an attempt to better characterize pediatric BCI, a review of the National Pediatric Trauma Registry was performed. Records were obtained from all children diagnosed with internal or common carotid injury associated with blunt trauma. The incidence of BCI was 0.03% (15 of 57,659 blunt trauma patients). Variables examined included: age, gender, mechanism of injury, associated injuries, various injury severity scores, and outcome. Various injuries were associated with an increase in BCI incidence including chest trauma (4-fold), combined head and chest trauma (6-fold), basilar skull fractures (4-fold), intracranial hemorrhage (6-fold), and clavicle fractures (8-fold). Thirty-three percent of the patients diagnosed with BCI suffered neurological complications directly attributable to their carotid injuries. Current practices regarding screening, diagnosis, and treatment are reviewed.

journal_name

Pediatr Neurosurg

journal_title

Pediatric neurosurgery

authors

Lew SM,Frumiento C,Wald SL

doi

10.1159/000028804

keywords:

subject

Has Abstract

pub_date

1999-05-01 00:00:00

pages

239-44

issue

5

eissn

1016-2291

issn

1423-0305

pii

28804

journal_volume

30

pub_type

杂志文章,评审
  • Surgical management of the cloverleaf skull deformity.

    abstract::The cloverleaf skull deformity, or Kleeblattschädel, is a rare malformation caused by synostosis of multiple cranial sutures. This anomaly has been reported to carry a dismal prognosis both in terms of neurological outcome as well as cosmetic appearance if treatment is delayed. Due to the paucity of data concerning th...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000121296

    authors: Resnick DK,Pollack IF,Albright AL

    更新日期:1995-01-01 00:00:00

  • Moyamoya disease in children with congenital dwarfing conditions.

    abstract::Congenital dwarfisms can be associated with a variety of vascular anomalies. Here, we describe 2 patients with congenital dwarfisms who presented with moyamoya syndrome and underwent indirect intracranial revascularization. The pathogenesis of moyamoya syndrome in this population is not well understood, but it is a ma...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000322017

    authors: Moftakhar P,Smith ER,Choulakian A,Scott RM,Danielpour M

    更新日期:2010-01-01 00:00:00

  • Internal open brain injury or cranial burst fracture: report of 8 cases.

    abstract:AIMS:We report a special type of skull fracture in children - internal open brain injury (IOBI). We summarize its clinical characteristics and propose a treatment strategy based on our experience. METHODS:Eight patients between 2 and 5 years old were identified to have IOBI. Preoperative computed tomography (CT) scann...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000260912

    authors: Yang CH,Li Q,Li GP,You C

    更新日期:2009-01-01 00:00:00

  • Novalis radiosurgery of optic gliomas in children: preliminary report.

    abstract:AIM:To evaluate the effectiveness of Novalis radiosurgery (RS) in children with optic gliomas. METHODS:Four pediatric patients (1 male and 3 female) were treated for optic gliomas with Novalis RS in our institution between February 2002 and July 2002. Their mean age was 12 (range 5-16) years at presentation for Novali...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000103305

    authors: Han SR,Yoon SW,Yee GT,Choi CY,Sohn MJ,Lee DJ,Whang CJ

    更新日期:2007-01-01 00:00:00

  • An unusual variant of a growing skull fracture in an adolescent.

    abstract::A great majority of growing skull fractures occur in infancy and earlychildhood. Since the growth of brain is necessary as a driving force for these lesions to occur, almost all reported cases have been before the first 3 years of life. Although a number of uncommon locations, such as basiooccipital and skull base are...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000028682

    authors: Colak A,Akbaşak A,Biliciler B,Erten SF,Koçak A

    更新日期:1998-07-01 00:00:00

  • Impaired motor learning in children with hydrocephalus.

    abstract::Hydrocephalic (n = 19) and normal (n = 20) children in two age groups (averaged at 10 and 14 years old) were asked to learn 5 predetermined timing rhythm interval tasks (including timing duration and relative timing pattern) by pressing keys on a computer keyboard. In the acquisition phase, visual and auditory goal ti...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000056017

    authors: Ding Y,Lai Q,McAllister II JP,Canady AI

    更新日期:2001-04-01 00:00:00

  • Surgical management of craniopharyngioma.

    abstract::Craniopharyngiomas can be divided into sellar, prechiasmatic, retrochiasmatic and giant tumors. The initial approach to a craniopharyngioma should be an attempt at its removal. Only if surgical therapy fails to deal with the tumor should more conservative approaches utilizing radiotherapy be used. The use of intracyst...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000120861

    authors: Hoffman HJ

    更新日期:1994-01-01 00:00:00

  • Pathophysiology of isolated lateral ventriculomegaly in shunted myelodysplastic children.

    abstract::Eight myelodysplastic children developed isolated lateral ventriculomegaly following shunt insertion for progressive hydrocephalus after closure of a myelomeningocele. In all patients a low-pressure distal slit valve (Uni-shunt) system preceded development of an isolated contralateral ventricle. Six of 8 children requ...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000120547

    authors: Berger MS,Sundsten J,Lemire RJ,Silbergeld D,Newell D,Shurtleff D

    更新日期:1990-01-01 00:00:00

  • Tethered cord associated with anorectal malformation.

    abstract::Ten children with a tethered cord and also an anorectal malformation are reported in this document. The anorectal malformations comprised 5 vesicointestinal fissures, 2 cloacal exstrophies, 2 rectovesical fistulas and 1 rectobulbar fistula. All of the patients underwent colostomy in advance of surgery for untethering ...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000068048

    authors: Morimoto K,Takemoto O,Wakayama A

    更新日期:2003-02-01 00:00:00

  • Direct repair of the pars interarticularis for spondylolysis and spondylolisthesis.

    abstract::Spondylolysis and spondylolisthesis can be associated with significant low back pain, especially in physically active adolescents. Non-operative management is usually successful in improving symptoms, but surgical intervention is occasionally required for those that fail reduction of activity and bracing. In a subpopu...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000072471

    authors: Lundin DA,Wiseman D,Ellenbogen RG,Shaffrey CI

    更新日期:2003-10-01 00:00:00

  • The early years of hemispherectomy.

    abstract::Today, hemispherectomy is a well-established procedure for the treatment of some sorts of catastrophic epilepsies. This, however, has not always been the case. The technique was developed to deal with brain tumors; however, the initial results were not remarkable. Moreover, when its morbidity became evident, it was al...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000085870

    authors: de Almeida AN,Marino R Jr

    更新日期:2005-05-01 00:00:00

  • Hereditary factors in the etiology of neural tube defects. Results of a survey.

    abstract::Ongoing research in the etiology of neural tube defects is increasingly being directed towards the molecular mechanisms at work in the formation of these complex lesions. We undertook to review the family history of patients in a large myelomeningocele/spina bifida clinic in an effort to identify genetic trends in the...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000120977

    authors: Partington MD,McLone DG

    更新日期:1995-01-01 00:00:00

  • Fibrous dysplasia of the skull in children.

    abstract::Early diagnosis of skull fibrous dysplasia in children is relatively easy, based on a history of painless progressive bony bulging. The therapeutic approach is still controversial, due to the benignity of the lesion. However, the clinical course may be unpredictable, with sudden appearance of symptoms, some of which c...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000120649

    authors: Di Rocco C,Marchese E,Velardi F

    更新日期:1992-01-01 00:00:00

  • Occipital reduction-biparietal widening technique for correction of sagittal synostosis.

    abstract::In the older infant with a marked skull deformation from sagittal synostosis a midline craniectomy will not produce an optimal cosmetic result as the brain grows at a much reduced rate and cannot provide the impetus for passive correction of the deformity. An operative technique is described whereby the occipital prom...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000120772

    authors: McComb JG

    更新日期:1994-01-01 00:00:00

  • Management of holocord pilocytic astrocytomas in children and adolescents: an update.

    abstract::Holocord intramedullary low-grade astrocytomas in children and adolescents - involving most or all of the cervical and thoracic spinal cord - are a rare finding. Most of the tumors seem to be pilocytic astrocytomas. Surgical management strategies might not be as clear as in small and circumscribed intramedullary tumor...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000345593

    authors: Ebner FH,Schittenhelm J,Roser F,Scheel-Walter H,Tatagiba M,Schuhmann MU

    更新日期:2012-01-01 00:00:00

  • Arachnoid cyst rupture with concurrent subdural hygroma.

    abstract::Arachnoid cysts (ACs) are relatively common intracranial mass lesions, which occur most often in the middle cranial fossa. While these lesions can present as a mass lesion, many are asymptomatic. Rarely, posttraumatic or spontaneous rupture of ACs can result in intracystic hemorrhage, subdural hematoma or subdural hyg...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000028918

    authors: Donaldson JW,Edwards-Brown M,Luerssen TG

    更新日期:2000-03-01 00:00:00

  • Electroencephalography features of primary epileptogenic regions in surgically treated MRI-negative infantile spasms.

    abstract:OBJECTIVE:To evaluate the surgical outcome for intractable, MRI-negative infantile spasms (IS), and to identify diagnostic targets in the focal epileptogenic area by methods other than MRI. METHODS:We retrospectively studied 9 patients who had had surgery for intractable IS, and whose lesions did not appear on MRI. We...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000321925

    authors: Hur YJ,Lee JS,Kim DS,Hwang T,Kim HD

    更新日期:2010-01-01 00:00:00

  • A closer look at the ventriculo-gallbladder shunt for the treatment of hydrocephalus.

    abstract::Six patients with hydrocephalus who were treated with cerebrospinal fluid (CSF) shunts became refractory to serosal absorption of CSF. All were subsequently treated with ventriculo-gallbladder shunts. The surgical technique and long-term results were evaluated by retrospective review of the hospital records. Detailed ...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000121191

    authors: Novelli PM,Reigel DH

    更新日期:1997-04-01 00:00:00

  • Solitary intracerebral juvenile xanthogranuloma. Case report and review of the literature.

    abstract::A case of an intracerebral juvenile xanthogranuloma (JXG) producing complex-partial seizures in a 13-year-old boy is presented. Although the child had no history of JXGs or a systemic histiocytic proliferative disorder, the histopathological and immunocytochemical studies of this lesion were identical to that of a cut...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000121212

    authors: Schultz KD Jr,Petronio J,Narad C,Hunter SB

    更新日期:1997-06-01 00:00:00

  • Fractures of the peritoneal catheter of cerebrospinal fluid shunts.

    abstract::A retrospective study of fractures of peritoneal catheters of ventriculoperitoneal shunts is described. Fracture of the peritoneal catheter accounts for 21.2% of shunt revisions. During the time period of January 1985 through July 1993, 401 PS Medical peritoneal catheters were installed and 23 fractures occurred. The ...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000120884

    authors: Cuka GM,Hellbusch LC

    更新日期:1995-01-01 00:00:00

  • The first description of a device for repeated external ventricular drainage in the treatment of congenital hydrocephalus, invented in 1744 by Claude-Nicolas Le Cat.

    abstract::An 18th century report of a device for repeated extracranial drainage of cerebrospinal fluid in the treatment of congenital hydrocephalus is reviewed. On 15th October 1744, the French surgeon Claude-Nicolas Le Cat (1700-1768) introduced a specially invented canula into the lateral ventricle of a newborn boy with hydro...

    journal_title:Pediatric neurosurgery

    pub_type: 传,历史文章,杂志文章

    doi:10.1159/000070872

    authors: Kompanje EJ,Delwel EJ

    更新日期:2003-07-01 00:00:00

  • Fludrocortisone treatment in a child with severe cerebral salt wasting.

    abstract::Hyponatremia is a common complication of intracranial disease or surgery. An evaluation should be undertaken to determine whether cerebral salt wasting (CSW) or inappropriate secretion of antidiuretic hormone is present as a cause. Since the treatment principles are completely different in the two pathological states,...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000050424

    authors: Kinik ST,Kandemir N,Baykan A,Akalan N,Yordam N

    更新日期:2001-10-01 00:00:00

  • Cerebral sparganosis in a child.

    abstract::Cerebral sparganosis in childhood is very rare. Until 1996, 2 cases in children up to 15 years of age had been described. We report a case of cerebral sparganosis in a 6-year-old girl who presented with seizures. Sequential brain magnetic resonance imaging scans spaced over 4 months showed a lesion which migrated from...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000121171

    authors: Kim CY,Cho BK,Kim IO,Hwang YS,Wang KC

    更新日期:1997-02-01 00:00:00

  • Surgical Superior Sagittal Sinus Thrombectomy in Refractory Thrombosis: A Technical Note.

    abstract:OBJECTIVE:Surgical treatment options are limited for medically and endovascular refractory cerebral venous sinus thrombosis (CVT). We describe the technical feasibility of open, direct sinus thrombectomy in a pediatric patient with medically and endovascular refractory CVT. METHODS:A 15-year-old patient with superior ...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000495808

    authors: Westwick HJ,Obaid S,Bordeleau-Roy F,Truffer E,Weil AG

    更新日期:2019-01-01 00:00:00

  • The retrograde ventriculo-sinus shunt (El Shafei RVS shunt). Rationale, evolution, surgical technique and long-term results.

    abstract:UNLABELLED:Since 1990, 110 retrograde ventriculo-sinus (RVS) shunts were implanted; 98 patients (89.1%) benefited - 1 of them (0.9%) after shunt revision. The manifestations of high intra cranial pressure (ICP) disappeared, there were no problems related to improper cerebrospinal fluid (CSF) drainage, and the transcran...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000088733

    authors: El Shafei IL,El Shafei HI

    更新日期:2005-11-01 00:00:00

  • Treatment of craniosynostosis by distraction osteogenesis.

    abstract:PURPOSE:Craniosynostosis patients treated with one-stage cranioplasty often have bleeding from the dura mater, fluid collection in the extradural space, and poor wound healing due to skin overstretching. To avoid these complications, we began using distraction osteogenesis. To determine the advantages and disadvantages...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000094064

    authors: Akai T,Iizuka H,Kawakami S

    更新日期:2006-01-01 00:00:00

  • Traumatic Pediatric Posterior Fossa Extradural Hematomas: A Tertiary-Care Trauma Center Experience from India.

    abstract:INTRODUCTION:Traumatic posterior fossa extradural hematomas (PFEDH) are rare lesions constituting <10% of all extradural hematomas. Reliance on clinical findings alone is not recommended as these are nonspecific; for all suspicious cases, it is advisable to conduct a CT scan. Only a handful of pediatric studies have be...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000438488

    authors: Prasad GL,Gupta DK,Sharma BS,Mahapatra AK

    更新日期:2015-01-01 00:00:00

  • Midline suboccipital osteoplastic craniotomy - 'cobra craniotomy'.

    abstract:BACKGROUND:Midline suboccipital craniotomy has been proposed as an alternative to conventional craniectomy for removal of posterior fossa tumors. METHOD:We describe a modified technique for midline suboccipital osteoplastic craniotomy based on the atlantooccipital membrane for a 17-year-old boy with superior vermian a...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000354220

    authors: Maiti T,Bhat DI,Devi BI,Shukla D

    更新日期:2012-01-01 00:00:00

  • Spontaneous regression of low-grade gliomas in pediatric patients without neurofibromatosis.

    abstract:OBJECTIVE:Pediatric low-grade gliomas comprise a diverse range of central nervous system tumors, sharing the usual course of a slow progression in growth. In individual cases however, the natural history can be variable, and rarely spontaneous regression has been described. This paper describes factors associated with ...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000134925

    authors: Rozen WM,Joseph S,Lo PA

    更新日期:2008-01-01 00:00:00

  • Intracranial metastasis of Wilms' tumor involving the tectal plate without pulmonary involvement. Case report.

    abstract::Intracranial metastasis without pulmonary involvement of Wilms' tumor is very rare, and most previously reported metastatic sites have been in the cerebral parenchyma. We experienced a rare case of metastasis of Wilms' tumor in the tectal plate without pulmonary involvement. A 3-month-old boy was admitted to our hospi...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000028819

    authors: Harada K,Nishizaki T,Kwak T,Fujisawa H,Nishikawa M,Ito H

    更新日期:1999-06-01 00:00:00