Our Clinical Experiences on Pediatric Head Trauma Cases

Özet

Introduction: Head injury is an important cause of morbidity and mortality in the pediatric age group. In this study, we aim to share our experience in the management of childhood head trauma cases. Methods: Data on the clinical, radiological and demographic characteristics of our children patient group who had head trauma followed by our clinic between the years of 2017 and 2019 were analyzed retrospectively in this study. Results: 77.6% of the children fell from a height, 10.2% of them were vehicle accidents and 12.2% of them were isolated head trauma. 56.1% of children are between 0-2 years old, 19.4% between 3-7 years old and 24.5% between 8-17 years old. The rate of falling from height in children aged 0-2 years (96.4%), 3-7 age (57.9%) and 8-17 age (50%) groups were significantly higher than children. GKS scores ranged from 4 to 15, with an average of 14.63±1.58 and a median of 15. While 92.9% of the cases were mild head trauma, 5.1% of the cases were middle head trauma, and 2% were severe head trauma. Considering the findings of IT, Linear fracture was found in 49%, epidural hematoma in 42.9%, contusion in 21.4%, subdural hematoma in 19.4%, SAK in 14.3% and collapse fracture in 10.2%. While 77.6% of the children did not have surgery, hematoma surgery was performed in 15.3%, decompressive surgery in 3.1%, hematoma and decompressive surgery in 4.1%. There was an inverse, 50.5% and statistically significant correlation between the initial GCS score and blood sugar. Discussion and Conclusion: Head trauma, which is a preventable cause of morbidity and mortality, is important in pediatric neurosurgery patient follow-up. Early diagnosis and treatment in these patients reduce many severe consequences from disabilities to death.