Abstract
A consecutive, unselected series of 1812 cases of head trauma in children less than 15 years of age and admitted hospital over a period of 8.5 years was studied. Data concerning the grade of energy involved, the ages of the victims, the types of pathologies caused and the clinical features noted were collected and statistically analysed. Babies and toddlers (0–3 years) were shown to sustain rather low-energy trauma and suffer more skull fractures, more subdural haematomas and more benign injuries. They lost consciousness less frequently and were less frequently in coma than the other children. By contrast, they had more frequent signs of lateralization, and early seizures were much more frequent in babies than in other children. Young children (3–9 years) had rather higher-energy accidents, frequently lost consciousness, were more frequently in coma and have more frequently had a free interval associated with the development of brain swelling. They did not suffer subdural effusion or contrecoup lesions. Schoolchildren (9–15 years) were statistically more or less like young adults: the clinical sequences of trauma were more severe than in the other children, mortality was a little bit higher, the risk of extradural haematoma was higher, and they rarely suffered subdural haematomas or contrecoup lesions. Traffic accidents, with higher energy involved, were more severe.
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Berney J, Favier J, Froidevaux A-C (1994) Paediatric head trauma: influence of age and sex. I. Epidemiology. Child's Nerv Syst 10: 509–516
Billmire ME, Myers PA (1985) Serious head injury in infants: accident or abuse? Pediatrics 75: 340–342
Bruce DA (1984) Delayed deterioration of consciousness after trival head injury in childhood. Br Med J 289: 715–716
Chan KH, Yue CP, Mann KS (1990) The risk of intracranial complications in pediatric head injury. Results of multivariate analysis. Child's Nerv Syst 6: 27–29
Chan KH, Mann KS, Yue CP, Fan YW, Cheung M (1990) The significance skull fracture in acute traumatic intracranial hematomas in adolescents: a prospective study. J Neurosurg 72: 189–194
Choux M, Grisoli F, Peragut JC (1975) Extradural hematomas in children — 104 cases. Child's Brain 1: 337–347
Duncan CC, Ment LR (1988) Head injury: management in children. Conn Med 52: 331–334
Duncan CC, Ment LR, Ogle E (1989) Traumatic injury to the developing brain. Concept Pediatr Neurosurg 9: 211–229
Gaillard M, Herve C, Reynaud P, Petit JL (1989) Epidemiology of severe cranial injuries in children and the prognosis of injured patients hospitalized in neurosurgery units. Ann Pediatr (Paris) 36: 194–198
Haas DC, Lourie H (1988) Traumatriggered migraine: an explanation for common neurological attacks after mild head injury. Review of the literature. J Neurosurg 68: 181–188
Hahn YS, Chyung C, Barthel MJ, Bailes J, Flannery AM, McLone DG (1988) Head injuries in children under 36 months of age. Demography and outcome. Child's Nerv Syst 4: 34–40
Humphreys RP, Hendrick EB, Hoffmann HJ (1990) The head-injured child “who talks and dies”. A preventable problem? Concepts Pediatr Neurosurg 10: 196–203
Lazorthes Y, Van Hong N, Lazorthes G (1969) Les aggravations secondaires précoses survenant après les traumatismes cranio-cérébraux de l'enfant. A propos de 1193 cas. Neurochirurgie 15: 19–26
Levin HS, Aldrich EF, Saydjari C, Eisenberg HM, Foulkes MA, Bellefleur M, Luerssen TG, Jane JA, Marmarou A, Marshall LF, Young HF (1992) Severe head injury in children: experience of the Traumatic Coma Data Bank. Neurosurgery 31: 435–444
Lundar T, Nestvold K (1985) Pediatric head injuries caused by traffic accidents. A prospective study with 5-year follow-up. Child's Nerv Syst 1: 24–28
Raimondi A, Hirschauer J (1984) Head injury in the infant and toddler. Child's Brain 11: 12–35
Rosenthal BW, Bergman I (1989) Intracranial injury after moderate head trauma in children. J Pediatr 115: 346–350
Ryan CA, Edmonds J (1988) Seizure activity mimicking brainstem herniation in children following head injuries. Crit Care Med 16: 812–813
Shapiro K (1985) Head injury in children. In: Becker DP, Povlishock JT (eds) Central nervous system trauma status report. NINCDS, National Institutes of Health, Bethesda, p 243
Snoek JW, Minderhoud JM, Wilmink JT (1984) Delayed deterioration following mild head injury in children. Brain 107: 15–36
Teasdale GM, Murray G, Anderson E, Mendelow AD, MacMillan R, Jennett B, Brookes M (1990) Risk of acute traumatic intracranial haematoma in children and adults: implications for managing head injuries. BMJ 300: 363–367
Vannucci RC (1990) The head injured child who “talks and dies”. A report of 4 cases. Child's Nerv Syst 6: 139–142
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Berney, J., Froidevaux, A.C. & Favier, J. Paediatric head trauma: influence of age and sex. Child's Nerv Syst 10, 517–523 (1994). https://doi.org/10.1007/BF00335074
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DOI: https://doi.org/10.1007/BF00335074