Assessment of pediatric near-drowning victims: is there a role for cranial CT?

Abstract:

:Previous studies have suggested that CT examinations of the brain in children soon after near-drowning incidents are not helpful in predicting clinical outcome and are not necessary. The clinical and CT findings of 19 pediatric near-drowning victims were reviewed for correlation with clinical and neurologic outcome. As expected, a normal initial CT scan was poorly predictive of outcome, whereas an abnormal CT scan in the initial 36 h following an immersion incident was associated with a dismal prognosis. Three children with abnormal initial CT examinations were identified and all died within 3 days of admission. A CT scan performed in the immediate near-drowning period, therefore, may be helpful in identifying some patients who have sustained severe neurologic injury.

journal_name

Pediatr Radiol

journal_title

Pediatric radiology

authors

Romano C,Brown T,Frewen TC

doi

10.1007/BF02010911

subject

Has Abstract

pub_date

1993-01-01 00:00:00

pages

261-3

issue

4

eissn

0301-0449

issn

1432-1998

journal_volume

23

pub_type

杂志文章
  • 'Here's looking at you, kid' … again? Revisiting multiphase CT in children.

    abstract:: ...

    journal_title:Pediatric radiology

    pub_type: 评论,杂志文章

    doi:10.1007/s00247-018-4248-z

    authors: Frush DP

    更新日期:2018-11-01 00:00:00

  • Herpes simplex encephalitis: MRI findings in two cases confirmed by polymerase chain reaction assay.

    abstract::Herpes simplex virus (HSV) type I causes a fulminant necrotising meningoencephalitis distinguished from other encephalitides by its focal and often haemorrhagic nature. Specific antiviral therapy with acyclovir can significantly improve the prognosis. We present MRI findings of two cases of herpes simplex encephalitis...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s002470100508

    authors: Lee JW,Kim IO,Kim WS,Yeon KM,Lee HJ,Hwang YS

    更新日期:2001-09-01 00:00:00

  • Renal cell carcinoma in childhood.

    abstract::The imaging features of renal cell carcinoma in 4 young patients (age 7 to 14 years) are described. A high proportion (75%) showed calcification on plain radiographs or computed tomography (CT). Both patients who underwent CT showed well defined high density tumours which were also echogenic on ultrasound examination....

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/BF02012496

    authors: Kabala JE,Shield J,Duncan A

    更新日期:1992-01-01 00:00:00

  • Hydranencephaly associated with cerebellar involvement and bilateral microphthalmia and colobomas.

    abstract::Hydranencephaly is an encephaloclastic central nervous system disorder characterised by severe destruction of the cerebral hemispheres with preservation of posterior fossa structures. We present MRI and neurosonography features of a unique case of hydranencephaly involving cerebellum (in the form of complete liquefact...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-010-1749-9

    authors: Taori KB,Sargar KM,Disawal A,Chhadi S,Rathod J

    更新日期:2011-02-01 00:00:00

  • US in the diagnosis of gastroesophageal reflux in children.

    abstract::Several techniques have been used to diagnose gastroesophageal reflux (GER) in children, but no single test is sufficiently accurate to completely investigate the problem. Gastroesophageal US has been described as a widely available, noninvasive and sensitive method. It provides morphological and functional informatio...

    journal_title:Pediatric radiology

    pub_type: 杂志文章,评审

    doi:10.1007/s00247-012-2344-z

    authors: Savino A,Cecamore C,Matronola MF,Verrotti A,Mohn A,Chiarelli F,Pelliccia P

    更新日期:2012-05-01 00:00:00

  • Multidetector CT angiography of pediatric vascular malformations and hemangiomas: utility of 3-D reformatting in differential diagnosis.

    abstract:BACKGROUND:Vascular malformations can be difficult to diagnose and classify. Accurate classification is important because treatments and prognosis vary based on the type of lesion. Diagnosis is based on a combination of clinical features with a variety of imaging techniques, including US, MRI/MRA, CT, and conventional ...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-005-1553-0

    authors: Bittles MA,Sidhu MK,Sze RW,Finn LS,Ghioni V,Perkins JA

    更新日期:2005-11-01 00:00:00

  • Premature sternal fusion in gonadal dysgenesis with coarctation.

    abstract::Gonadal dysgenesis and coarctation of the aorta were found in four patients to be associated with premature sternal fusion but possible etiologic relationship to shield chest deformity in suggested. ...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/BF02386775

    authors: Herman TE,Kushner DC,Cleveland RH

    更新日期:1985-01-01 00:00:00

  • Disappearance of bowel gas in newborn infants on mechanical ventilation.

    abstract::Loss of bowel gas was observed in 18 out of 49 neonates on mechanical ventilation (37%). Its occurrence was correlated to the outcome and to the use of sedative or neuromuscular paralysing drugs. None of the babies had gastrointestinal disorders requiring surgical intervention. A gasless abdomen was found in 6 our of ...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/BF01221704

    authors: Coradello H,Ponhold W,Lubec G,Pollak A

    更新日期:1982-01-01 00:00:00

  • False-positive In-111 DTPA octreotide scintigraphy in bilateral tibial insufficiency fracture.

    abstract::We present a case of bilateral tibial insufficiency fracture in which indium (In)-111 diethylenetriamine pentaacetic acid (DTPA) octreotide scan showed increased activity in the region of the fracture. The scan was performed in a 5-year-old girl with severe refractory hypertension and elevated plasma metanephrines for...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-014-3029-6

    authors: Vali R,Ranson M,Harvey E,Shammas A

    更新日期:2015-01-01 00:00:00

  • Ultrasound diagnosis of an atypical pneumomediastinum.

    abstract::The diagnosis of an atypical pneumomediastinum in a newborn was confirmed by ultrasound where an echogenic rim of air was noted around the heart. Ultrasound is suggested as an alternative to a decubitus film in differentiating between a pneumomediastinum (which usually resolves spontaneously) and a medial pneumothorax...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/BF02013517

    authors: Van Gelderen WF

    更新日期:1992-01-01 00:00:00

  • European overview of current practice of fetal imaging by pediatric radiologists: a new task force is launched.

    abstract::A new task force dedicated to prenatal imaging was created in 2018 by the European Society of Pediatric Radiology. In order to establish a network of European prenatal imaging practice, we sent a questionnaire to radiologists practicing prenatal imaging in Europe. The questions were related to the type of institution,...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-020-04710-4

    authors: Cassart M,Garel C

    更新日期:2020-11-01 00:00:00

  • Transient enhancement of pericardium, peritoneum, soft tissues and perhaps lymphatics after large doses of contrast administration: an overlooked phenomenon?

    abstract::An infant with complex cyanotic congenital heart disease was recently encountered whose radiographs seemed to show enhancement of pericardium, peritoneal mesothelium and body wall fascial planes without enhancement of the liver or spleen after very large doses of intravenous contrast. Although patterns of postcontrast...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-011-2249-2

    authors: Behr GG,Berdon WE,Griscom NT

    更新日期:2012-06-01 00:00:00

  • Skeletal abnormalities in fetuses with Down's syndrome: a radiographic post-mortem study.

    abstract:OBJECTIVE:To evaluate skeletal abnormalities on post-mortem radiographs of fetuses with Down's syndrome. MATERIALS AND METHODS:Biometrical and morphological criteria, which are used for US prenatal detection of trisomy 21, were assessed. Limb long bones, biparietal diameter (BPD)/occipito-frontal diameter (OFD) ratio,...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s002470050675

    authors: Stempfle N,Huten Y,Fredouille C,Brisse H,Nessmann C

    更新日期:1999-09-01 00:00:00

  • Acute pyomyositis of the pelvis: the spectrum of clinical presentations and MR findings.

    abstract:BACKGROUND:Acute pelvic pyomyositis is uncommon in non-tropical areas. OBJECTIVE:To summarize the clinical and MR findings in children with acute pelvic pyomyositis. MATERIALS AND METHODS:We retrospectively identified 20 children (mean age 9.4 years) who were evaluated by MR and diagnosed with acute pelvis pyomyositi...

    journal_title:Pediatric radiology

    pub_type: 临床试验,杂志文章

    doi:10.1007/s00247-005-0082-1

    authors: Karmazyn B,Kleiman MB,Buckwalter K,Loder RT,Siddiqui A,Applegate KE

    更新日期:2006-04-01 00:00:00

  • Birth-related mid-posterior rib fractures in neonates: a report of three cases (and a possible fourth case) and a review of the literature.

    abstract:BACKGROUND:Posterior rib fractures in young children have a high positive predictive value for non-accidental injury (NAI). Combined data of five studies on birth trauma (115,756 live births) showed no cases of rib fractures resulting from birth trauma. There have, however, been sporadic cases reported in the literatur...

    journal_title:Pediatric radiology

    pub_type: 杂志文章,评审

    doi:10.1007/s00247-008-1035-2

    authors: van Rijn RR,Bilo RA,Robben SG

    更新日期:2009-01-01 00:00:00

  • Interloop fluid in intussusception: what is its significance?

    abstract:BACKGROUND:Sonography has been used to predict pneumatic reduction outcome in children with intussusception. OBJECTIVE:To assess the prognostic significance of fluid between the intussusceptum and intussuscepiens with respect to reduction outcome, lead point or necrosis. MATERIALS AND METHODS:Sonograms of children wi...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-010-1931-0

    authors: Gartner RD,Levin TL,Borenstein SH,Han BK,Blumfield E,Murphy R,Freeman K

    更新日期:2011-06-01 00:00:00

  • Sclerotic bone lesions at abdominal magnetic resonance imaging in children with tuberous sclerosis complex.

    abstract:BACKGROUND:Sclerotic bone lesions are often seen on chest CT in adults with tuberous sclerosis complex. OBJECTIVE:To characterize bone lesions at abdominal MRI in children with tuberous sclerosis complex. MATERIALS AND METHODS:This retrospective review included 70 children with tuberous sclerosis complex who had unde...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-016-3549-3

    authors: Boronat S,Barber I,Pargaonkar V,Chang J,Thiele EA

    更新日期:2016-05-01 00:00:00

  • Outcomes in children with deep vein thrombosis managed with percutaneous endovascular thrombolysis.

    abstract:BACKGROUND:Our center has developed a multidisciplinary approach to percutaneous endovascular thrombolysis with the goal of improving outcomes in children with thrombosis. There is little data describing the safety and efficacy of endovascular thrombolysis and the frequency of post-thrombotic syndrome after thrombolysi...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-014-3209-4

    authors: Dandoy CE,Kukreja KU,Gruppo RA,Patel MN,Tarango C

    更新日期:2015-04-01 00:00:00

  • Ultrasound of a torsed ovary: characteristic gray-scale appearance despite normal arterial and venous flow on Doppler.

    abstract:BACKGROUND:We present the case of an 8-year-old girl with acute onset of intermittent lower abdominal pain. The gray-scale US examination showed an enlarged right ovary with peripheral cysts, reflecting ovarian congestion and strongly suggesting the diagnosis of torsion. Normal arterial and venous flow, however, was fo...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-002-0739-y

    authors: Hurh PJ,Meyer JS,Shaaban A

    更新日期:2002-08-01 00:00:00

  • Additional value and new insights by four-dimensional flow magnetic resonance imaging in congenital heart disease: application in neonates and young children.

    abstract::Cardiovascular MRI has become an essential imaging modality in children with congenital heart disease (CHD) in the last 15-20 years. With use of appropriate sequences, it provides important information on cardiovascular anatomy, blood flow and function for initial diagnosis and post-surgical or -interventional monitor...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-020-04885-w

    authors: Geiger J,Callaghan FM,Burkhardt BEU,Valsangiacomo Buechel ER,Kellenberger CJ

    更新日期:2020-12-11 00:00:00

  • Malrotation in patients with duodenal atresia: a true association or an expected finding on postoperative upper gastrointestinal barium study?

    abstract::We retrospectively reviewed the imaging and surgical findings in 17 patients with duodenal atresia to determine (a) the frequency of coexistent malrotation in patients with duodenal atresia and (b) the reliability of the upper gastrointestinal barium study (UGI) in differentiating malrotation from postoperative deform...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/BF02012180

    authors: Zerin JM,Polley TZ Jr

    更新日期:1994-01-01 00:00:00

  • Ultrasonography in developmental dysplasia of the hip: what have we learned?

    abstract::Developmental dysplasia of the hip (DDH) is an important but poorly defined entity, the natural history of which is incompletely understood. The term encompasses a disease spectrum ranging from a stable hip with a mildly dysplastic acetabulum to complete hip dislocation. Much controversy surrounds the diagnosis, imagi...

    journal_title:Pediatric radiology

    pub_type: 杂志文章,评审

    doi:10.1007/s00247-012-2429-8

    authors: Bracken J,Ditchfield M

    更新日期:2012-12-01 00:00:00

  • Surgical concerns in malrotation and midgut volvulus.

    abstract::Appropriate management of the child with malrotation and/or midgut volvulus requires a multi-disciplinary approach with early clinical suspicion, rapid confirmation of diagnosis, and expedient operative intervention in order to obtain the most effective outcomes. ...

    journal_title:Pediatric radiology

    pub_type: 杂志文章,评审

    doi:10.1007/s00247-008-1129-x

    authors: Shew SB

    更新日期:2009-04-01 00:00:00

  • Lumbar translaminar fenestration for insertion of intrathecal baclofen catheter: a novel technique.

    abstract::Intrathecal baclofen has long been known to be an efficacious treatment of spasticity in children with cerebral palsy. Test bolus administration is often necessary to ensure patients will benefit from this treatment. The introduction of a intrathecal catheter for test bolus administration can prove challenging in a su...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-017-3816-y

    authors: Heran MKS,Al-Shikarchy H,Chowne C

    更新日期:2017-05-01 00:00:00

  • Orbital hydrocephalus: a proven cause for optic atrophy.

    abstract::A 4-year-old boy with bilateral optic sheath enlargement and progressive optic atrophy and blindness is presented. Computed tomography demonstrated hydrocephalus and enlargement of the optic nerve sheath complex. The child died during an attempted repair of hypoplastic atrioventricular valves. Autopsy demonstrated a p...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s002470050518

    authors: Towbin R,Garcia-Revillo J,Fitz C

    更新日期:1998-12-01 00:00:00

  • Doppler ultrasound and angiography of the vasculature of the liver in children after orthotopic liver transplantation: a prospective study.

    abstract::Despite the availability of Doppler ultrasound, angiography still forms part of the protocol for evaluating children after orthotopic liver transplantation (OLT) at our department. To investigate whether Doppler ultrasound is a reliable method for evaluating the patency of the hepatic artery, portal vein, inferior ven...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/BF02015783

    authors: Kok T,Peeters PM,Hew JM,Martijn A,Koetse HA,Bijleveld CM,Slooff MJ

    更新日期:1995-01-01 00:00:00

  • Preoperative diagnosis of benign hepatic hamartoma by correlation radioisotopic and angiographic studies.

    abstract::The case of a 12 year old girl with a hamartoma of the liver is reported. A preoperative liver scan showed accumulation of technetium-99m sulfur colloid in the tumor with isotopic and contrast arteriography demonstration of a hypervascular intrahepatic mass. Although these diagnostic findings are not pathognomonic of ...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/BF00975347

    authors: Seibert JJ,Soper RT

    更新日期:1976-04-14 00:00:00

  • Acute appendicitis in children: comparison of clinical diagnosis with ultrasound and CT imaging.

    abstract:BACKGROUND:There is strong evidence that imaging with ultrasound and CT can be of substantial diagnostic value in the diagnosis of acute appendicitis in children, but there is limited information of the impact of imaging on the management of these patients and its possible effect on surgical findings. OBJECTIVE:We stu...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s002470050023

    authors: Karakas SP,Guelfguat M,Leonidas JC,Springer S,Singh SP

    更新日期:2000-02-01 00:00:00

  • Abnormal fetal cerebral laminar organization in cobblestone complex as seen on post-mortem MRI and DTI.

    abstract::We report a unique case of cobblestone complex using post-mortem MR and diffusion tensor imaging to assess the laminar organization of the fetal cerebrum. The imaging findings were correlated with autopsy findings. Abnormal cortical development in cobblestone complex resulted in disruption of normal laminar organizati...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-009-1255-0

    authors: Widjaja E,Geibprasert S,Blaser S,Rayner T,Shannon P

    更新日期:2009-08-01 00:00:00

  • MRI characteristics of the neurocentral synchondrosis.

    abstract:BACKGROUND AND OBJECTIVES:The neurocentral synchondrosis (NCS) is a cartilaginous growth plate that since the early 1900s has been implicated as a potential cause of adolescent idiopathic scoliosis (AIS). Previous studies have focused only on the closure age without characterizing normal NCS development. Using MRI, the...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-002-0771-y

    authors: Rajwani T,Bhargava R,Moreau M,Mahood J,Raso VJ,Jiang H,Bagnall KM

    更新日期:2002-11-01 00:00:00