A Study to Predict Outcome and Analysis of Factors Affecting Outcome in Pediatric Population with Severe Head Injury
Journal Title: International Journal of Neurology and Neurosurgery - Year 2017, Vol 9, Issue 2
Abstract
Context: Study of outcome and analyzing various factors is important in various settings to identify factors that can lead to serious sequel but at the same time if identified early, are preventable, thereby leading to better management and good outcome in children. Aims: To study the outcome and analyze factors that affect outcome in children with severe head injury. Settings and Design: A hospital based prospective study was carried out at Osmania Medical College and General Hospital, Hyderabad. Methods and Material: A hospital based prospective study was carried out among 764 eligible children less than 14 years of age with head injury. Statistical Analysis: The data was entered in Microsoft Excel Worksheet and analyzed using proportions. Appropriate statistical test was applied wherever necessary. Results: Maximum cases were seen in children less than three years of age. But the proportion of severe head injuries was more among older children of 914 years. Most common mode of head injury was fall from height. Mild head injury was most common. Linear type of skull fracture was most common finding. Extradural hematoma was the most common intracranial hematoma. Vomiting was the most common presentation. Conservative management was carried out in maximum number of cases. Poor GCS score of 35, presence of pupillary abnormality, and presence of diffuse cerebral edema were found to be significant predictors of poor outcome among children (p < 0.05). Conclusion: Endotracheal intubation, elective ventilation for patient with poor GCS and early tracheostomy when necessary have shown good outcome in children with diffuse brain injury. Poor GCS at presentation, presence of shock, presence of diffuse cerebral edema on CT scan were the factors associated with poor prognosis.
Authors and Affiliations
Venugopal Gudla
Keywords
Related Articles
- EP ID EP467643
- DOI 10.21088/ijnns.0975.0223.9217.11
- Views 60
- Downloads 0
Management of Spinal Tuberculosis. Our Institutional Experience of 78 Cases
Spine is the most common form of skeletal Tuberculosis with the vertebral body being its preferred site. Spinal Tuberculosis may cause neurological damage, deformity. Predominantly, treatment is antitubercular drugs but...
Analysis of the Effects of Longterm Antiepileptic Drugs on Vascular Risk Factors and Atherosclerosis
One of the most common disorders that affect brain is epilepsy. More than 30% of epileptic patients have to undergo long term therapy with antiepileptic drugs (AED). Studies show an increase in mortality in symptomatic e...
Restless Legs Syndrome as an Early Neurological Manifestation of Vitamin B12 Deficiency
Background: Current hypotheses on pathophysiology of restless legs syndrome (RLS) implicate iron as a cofactor in dopamine synthesis. Vitamin B12 also plays an important role in dopamine synthesis, but its role in the pa...
Lateral Supraorbital Subfrontal Keyhole versus Pterional Craniotomy for the Surgical Management of A-Com Aneurysm
Pterion approach is widely accepted as a standard method for clipping of A-com artery aneurysm. With progresses of microscopic instruments and surgical techniques, keyhole approach for clipping of anterior circulation an...
Valsalva's Maneuver for Removal of Intraventricular Cyst
The Valsalva’s maneuver is a time-honored technique that is commonly used at the clinical practice for the evaluation of heart murmurs, left ventricular and autonomic dysfunction. Valsalva maneuver (VM) is commonly pract...