Current patterns of inflicted head injury in children.

Abstract:

:The purpose of this study was to examine the current patterns of head trauma associated with child abuse. We reviewed the records of all patients admitted to our medical center between 1995 and 1997 with a primary diagnosis of head trauma, and analyzed the clinical presentation, mechanism of injury, socioeconomic status and outcome for these patients. Head trauma was deliberately inflicted in 38/405 children (9%). There were 25 boys and 13 girls, with a median age of 5.5 months. Two thirds of the families lived in the inner city. Of the 99 children under the age of 2 years admitted for head trauma, the injury was inflicted in 32 (32%). Acute subdural hematoma was present in 22/32 (69%) of children with inflicted trauma, but in only 5/68 (7%) with accidental trauma. Retinal hemorrhages were present in 17/32 (53%) abused children, but in no cases of accidental trauma (0/68). Deliberately inflicted injury is a frequent cause of serious head trauma in young children. Head injury is a major cause of morbidity and mortality in the abused child. Child abuse cases correlated strongly with low socioeconomic status. Nonaccidental trauma must be considered strongly in children under 2 years of age who present with acute subdural hematoma in the absence of a history of a motor vehicle accident.

journal_name

Pediatr Neurosurg

journal_title

Pediatric neurosurgery

authors

Dashti SR,Decker DD,Razzaq A,Cohen AR

doi

10.1159/000028880

keywords:

subject

Has Abstract

pub_date

1999-12-01 00:00:00

pages

302-6

issue

6

eissn

1016-2291

issn

1423-0305

pii

28880

journal_volume

31

pub_type

杂志文章
  • 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

  • Effect of Posterior Fossa Decompression for Chiari Malformation-I on Scoliosis.

    abstract:BACKGROUND/AIMS:Scoliosis is common in patients with Chiari malformation-I (CM-I). This study examined the change in scoliosis severity after posterior fossa decompression (PFD) for CM-I. METHODS:We conducted a retrospective review at a single tertiary center for children undergoing PFD with untreated scoliosis, and i...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000485254

    authors: Chotai S,Basem J,Gannon S,Dewan M,Shannon CN,Wellons JC,Bonfield CM

    更新日期:2018-01-01 00:00:00

  • Cyanotic breath-holding spell: a life-threatening complication after radical resection of a cervicomedullary ganglioglioma.

    abstract::Cyanotic breath-holding spell is a benign and self-limiting disease of young children but occasionally associated with sudden, unexpected death. The authors report a rare case in a 2-year-old girl with a severe form that started after radical resection of a cervicomedullary ganglioglioma. She was admitted to our hospi...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000085163

    authors: Fujisawa H,Yoshida Y,Niida Y,Hasegawa M,Yamashita J

    更新日期:2005-03-01 00:00:00

  • Pediatric skull base surgery. 1. Embryology and developmental anatomy.

    abstract::Surgical pathology of the pediatric cranial base is uncommon, but in affected children, traditional operative techniques and management philosophies predominate. While the creation of multidisciplinary skull base teams synergistically pools the talents of individual specialties, a better understanding of the developme...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000067558

    authors: Gruber DP,Brockmeyer D

    更新日期:2003-01-01 00:00:00

  • Infantile traumatic subdural hematomas: outcome after five years.

    abstract:OBJECTIVE:Although subdural hematomas (SDH) are common in infants, their long-term outcome is poorly documented in the literature. METHODS:Infants operated for SDH were followed prospectively and evaluated during their sixth year with systematic neurological evaluation and standard neuropsychological testing. RESULTS...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000071648

    authors: Vinchon M,Defoort-Dhellemmes S,Nzeyimana C,Vallée L,Dhellemmes P

    更新日期:2003-09-01 00:00:00

  • Spontaneous thrombosis of vein of Galen aneurysmal malformation.

    abstract::Two cases of aneurysmal malformations of the vein of Galen (AVG) with spontaneous thrombosis are reported. Angiogram and MRI before thrombosis demonstrated AVGs with slow arteriovenous shunts and associated stagnation of contrast in the venous sac secondary to severe outflow restriction. Based on these findings, one p...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000028828

    authors: Nikas DC,Proctor MR,Scott RM

    更新日期:1999-07-01 00:00:00

  • Brainstem gliomas in children. A Children's Cancer Group review of 119 cases.

    abstract::Brainstem gliomas (BSG) with intrinsic and extensive brainstem involvement continue to have a poor outlook despite current treatment approaches. Neuroimaging studies have aided in the differentiation of malignant brainstem tumors from more 'benign' subgroups. A Children's Cancer Group protocol evaluating outcome in ch...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000121036

    authors: Kaplan AM,Albright AL,Zimmerman RA,Rorke LB,Li H,Boyett JM,Finlay JL,Wara WM,Packer RJ

    更新日期:1996-01-01 00:00:00

  • Occipital post-traumatic intradiploic arachnoid cyst converted to pseudomeningocele after re-trauma: a rare complication of rare pathology.

    abstract:BACKGROUND:Growing skull fracture (GSF)/pseudomeningocele is a rare complication of head injury in children. Post-traumatic intradiploic arachnoid cyst (PTIAC) is a variant but it is extremely rare. PTIACs are usually asymptomatic or with mild symptoms like headache. The rupture of PTIAC due to re-trauma leading to pse...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000369936

    authors: Jaiswal M,Gandhi A,Sharma A,Mittal RS

    更新日期:2015-01-01 00:00:00

  • Endoscopic, single-catheter treatment of Dandy-Walker syndrome hydrocephalus: technical case report and review of treatment options.

    abstract::Optimal treatment for hydrocephalus related to Dandy-Walker syndrome (DWS) remains elusive. Patients with DWS-related hydrocephalus often require combinations of shunting systems to effectively drain both the supratentorial ventricles and posterior fossa cyst. We describe an endoscopic technique, whereby a frontally p...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000087486

    authors: Sikorski CW,Curry DJ

    更新日期:2005-09-01 00:00:00

  • Management of choroid plexus tumours in children: 20 years experience at a single neurosurgical centre.

    abstract:OBJECTIVE:Tumours of the choroid plexus are rare tumours of neuro-ectodermal origin, accounting for less than 1% of all intracranial tumours. Most cases present in children less than 2 years of age. While choroid plexus carcinomas (CPC) are reported to have an extremely poor prognosis, choroid plexus papillomas (CPP) a...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000028933

    authors: McEvoy AW,Harding BN,Phipps KP,Ellison DW,Elsmore AJ,Thompson D,Harkness W,Hayward RD

    更新日期:2000-04-01 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

  • Atlantoaxial Rotatory Subluxation after Removal of a Ventriculoperitoneal Shunt in the Supine-Lateral Position.

    abstract::Atlantoaxial rotatory subluxation (AARS) is an uncommon disease with a greater prevalence in children than adults. So far there has only been one report of AARS after surgery related to ventriculoperitoneal (VP) shunting. We present a new case of AARS closed reduction treatment after VP shunt removal in an 8-year-old ...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000433601

    authors: Hashide S,Aihara Y,Nagahara A,Mitsuyama T,Okada Y

    更新日期:2015-01-01 00:00:00

  • A case of infertility in a patient with a ventriculoperitoneal shunt.

    abstract:OBJECTIVE AND IMPORTANCE:Complications arising from the placement of ventriculoperitoneal (VP) shunts are well documented. A case of infertility is presented that was thought to result from factors related to the distal end of a VP shunt residing within a patient's abdomen. CLINICAL PRESENTATION:A 30-year-old female w...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000098391

    authors: White JB,Raffel C,Blackwell RE

    更新日期:2007-01-01 00:00:00

  • Towards development of a survival prediction tool for pediatric head injury.

    abstract:BACKGROUND:The ability to provide an accurate prognosis for children with traumatic brain injury (TBI) would be useful for the children's families and the caregivers. In this study we examined whether an appropriate mathematical model can predict survival in this patient population. METHODS:Data from the Children's Ho...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000340068

    authors: Kouznetsov E,Brennan M,Vassilyadi M

    更新日期:2012-01-01 00:00:00

  • Pediatric Traumatic Pneumorrhachis: Case Report.

    abstract::The existence of air in the spinal canal is referred to as pneumorrhachis. It is classified as extradural (epidural) or intradural (subdural or subarachnoid) according to the location where it is found. Nontraumatic, traumatic, and iatrogenic causes have been attributed to its occurrence. Traumatic pneumorrhachis is v...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000496395

    authors: Bilgin E,Ökten Aİ,Çavuş G,Açık V,Arslan A,Olguner SK,Gezercan Y,İştemen İ

    更新日期:2019-01-01 00:00:00

  • Aplasia Cutis Congenita of the Scalp, Composite Type: The Criticality and Inseparability of Neurosurgical and Plastic Surgical Management.

    abstract:BACKGROUND/AIMS:The object of this report is to review the management of patients having the composite type of aplasia cutis congenita in the context of the relevant literature on this condition. METHODS:Clinical records, neuroimaging and photographic documentation of identified cases of composite type aplasia cutis c...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000442989

    authors: Winston KR,Ketch LL

    更新日期:2016-01-01 00:00:00

  • Delayed diagnosis of neurological bladder following spinal cord injury without radiological abnormality.

    abstract::Spinal cord injuries are a well-known cause of neurological bladder and a well-known complication of high-velocity trauma. They can, however, be difficult to diagnose in young children, in whom the absence of initial neurological symptoms and normality of the radiological workup can be falsely reassuring. Management o...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000360402

    authors: Abbo O,Mouttalib S,L'Kaissi M,Sauvat F,Accadbled F,Harper L

    更新日期:2013-01-01 00:00:00

  • Intracranial hypertension after cranial vault decompression for craniosynostosis.

    abstract::A 3-year-old boy with chronic papilledema, bilateral coronal synostosis and Pfeiffer syndrome underwent an orbitofrontal advancement. One month postoperatively, his papilledema had resolved, however, his vision progressively deteriorated over the ensuing 3 months to legal blindness. He had no symptoms or signs of incr...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000120913

    authors: Campbell JW,Albright AL,Losken HW,Biglan AW

    更新日期:1995-01-01 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

  • 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

  • Functional opening of the fourth ventricular outlet in C57BL/6J and delayed splotch mouse embryos.

    abstract::To compare the functional development of the fourth ventricular outlet in the myeloschisis-Chiari malformation complex with that of a normal brain, the chronological development of the outlet in C57BL/6J non-neural-tube defect mouse embryos was examined as the first step. Then we compared the results with those of hom...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000121248

    authors: Wang KC,Higbee R,Knepper PA,McLone DG

    更新日期:1997-10-01 00:00:00

  • Atypical teratoid-rhabdoid tumor spreading along the trigeminal nerve.

    abstract::We here describe the case of a boy with an atypical teratoid-rhabdoid tumor (ATRT) of the 4th ventricle at 1 year of age and a local tumor recurrence at 19 months of age. Due to brainstem infiltration, only incomplete tumor resection was possible each time. High-dose chemotherapy, stem cell transplantation and irradia...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000092366

    authors: Beschorner R,Mittelbronn M,Koerbel A,Ernemann U,Thal DR,Scheel-Walter HG,Meyermann R,Tatagiba M

    更新日期:2006-01-01 00:00:00

  • Neuroophthalmological symptoms in children treated for internal hydrocephalus.

    abstract::The object of the study are 126 children with internal hydrocephalus treated within the period 1978-1990. The children were preoperatively divided into six groups according to the etiology of the hydrocephalus. Disorders of the visual functions accompanying elevated intracranial pressure (setting sun 51, syndrome of t...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000120617

    authors: Tzekov C,Cherninkova S,Gudeva T

    更新日期:1991-01-01 00:00:00

  • Dual occurrence of pineal germinoma and testicular seminoma. Case report and review of the literature.

    abstract::A 16-year-old male presented with obstructive hydrocephalus secondary to pineal germinoma. There have been many reported cases of abdominal metastasis of pineal germinoma after ventriculoperitoneal shunting. Endoscopic ventriculostomy was preferred in our case, thus avoiding iatrogenic peritoneal seeding, but spinal m...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000089508

    authors: Ho CL,Deruytter MJ

    更新日期:2006-01-01 00:00:00

  • Correlation of cutaneous lesions with clinical radiological and urodynamic findings in the prognosis of underlying spinal dysraphism disorders.

    abstract::Spinal dysraphism is characterized by a lack of fusion of the vertebral arches that occurs in the absence of spinous processes with variable amounts of lamina. Here, we retrospectively present the importance of cutaneous lesions and their correlation with clinical presentation, radiological examination and urodynamic ...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000149901

    authors: Sasani M,Asghari B,Asghari Y,Afsharian R,Ozer AF

    更新日期:2008-01-01 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

  • Transplanted demineralized bone graft in cranial reconstructive surgery.

    abstract::Surgical reconstruction of cranial deformities and synostosis is occasionally accompanied by incomplete bone growth to cover all areas of cranial vault that have been exposed in the correction. The restrictive nature of some forms of synostosis require more bone in the repair than is available using the child's natura...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000120959

    authors: Moss SD,Joganic E,Manwaring KH,Beals SP

    更新日期:1995-01-01 00:00:00

  • Endovascular particulate and alcohol embolization for near-fatal epistaxis from a skull base vascular malformation.

    abstract::A three-year old girl who initially presented at 16 months with epistaxis from an anterior skull base vascular anomaly returned with near-fatal epistaxis despite embolization of the internal maxillary artery at the time of initial presentation. Repeat angiography demonstrated blood supply to the vascular lesion coming...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000050432

    authors: Koebbe CJ,Horowitz M,Levy EI,Adelson D,Jungries C

    更新日期:2001-11-01 00:00:00

  • Pathogenesis of lumbosacral lipoma: a test of the "premature dysjunction" theory.

    abstract::Premature separation of the neuroectoderm from the ipsilateral surface ectoderm allowing mesenchymal tissue to invade into the central canal, or "premature dysjunction" theory, was proposed for the pathogenesis of dorsal type lumbosacral lipoma. To test this theory, the unilateral neural fold was incised using Hamburg...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000056007

    authors: Li YC,Shin SH,Cho BK,Lee MS,Lee YJ,Hong SK,Wang KC

    更新日期:2001-03-01 00:00:00

  • Skull repair in children.

    abstract::Skull defects in children may be congenital or acquired after trauma, infection or tumor. For defects that do not close spontaneously a variety of repair (cranioplasty) materials are available including bone, metals and acrylic. Where possible calvarial autogenous bone is preferred, particularly in younger infants, bu...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000120540

    authors: Hockley AD,Goldin JH,Wake MJ,Iqbal J

    更新日期:1990-01-01 00:00:00