Vômitos em traumatismo cranioencefálico leve na infância
| Autor: | Alyne Andrade Lima, Carlos Umberto Pereira |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
criança
Subarachnoid hemorrhage traumatismos craniocerebrais business.industry Traumatic brain injury lcsh:R lcsh:Surgery lcsh:Medicine lcsh:RD1-811 Brain damage medicine.disease Head trauma Skull Hematoma medicine.anatomical_structure prognóstico vômitos Anesthesia Vomiting Medicine Surgery Neurology (clinical) medicine.symptom business Somnolence |
| Zdroj: | Brazilian Neurosurgery, Vol 32, Iss 02, Pp 59-62 (2013) |
| ISSN: | 2359-5922 0103-5355 |
| DOI: | 10.1055/s-0038-1625989 |
| Popis: | Vomiting in mild traumatic brain injury during childhood Objective: This present study aims to show the real importance of vomiting post-traumatic in children who had mild head trauma. Methods: A prospective and descriptive study off 88 patients from birth to 16 years with minor head injury who were presented to as emergency service in the HUSE (AracajuSergipe). Characteristics studied were age, sex, mechanisms of injury, site of impact, neurological on arrival, exams and treatment. Results: Eighty eight patients presented vomiting post traumatic as the most important symptom and this was the study group. Gender male74/female 14 cases. The average age was 5,5 years. Most injuries were caused by a fall (63 cases). The mechanism of injury was a fall in 62, involvement in a road traffic accident in 10, bicycle crash in 9, abuse in 2 and unknown in 5. The average of episodes of vomiting were two. Other complaints were headache and somnolence. A simple skull x-ray performed in 84 cases demonstrated a linear fracture in two and compound fracture of skull in one. CT performed in 88 patients revealed one extradural hematoma, one subdural hematoma, one subarachnoid hemorrhage and one temporal contusion. Surgical treatment was instituted in two cases. There was no finds compared between the number of episodes of vomiting and imaging findings. Abnormal findings on simple x-ray associated with vomiting and somnolence were predictors of brain damage. There was no death. Conclusion: The knowledge of the significance of vomiting in mild head trauma in children is essential to avoid performing unnecessary imaging tests that carries biological risks and additional costs. There was no compared between brain injury and vomiting in children with mild head injuries. No vomiting in children with mild head trauma doesn’t exclude the absence of brain damage. |
| Databáze: | OpenAIRE |
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