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Predictive value of early radiological findings in inflicted traumatic brain injury.
MedLine Citation:
PMID:  22353249     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Aim:  The aim of this study was to evaluate the value of early radiological investigations in predicting the long-term neurodevelopmental outcome of patients with inflicted traumatic brain injury (ITBI). Methods:  In 28 patients with ITBI, radiological investigations were performed during the acute phase of injury (0-3 days) and during the early postinjury phase (4 days to 1 month). The clinical outcome in survivors (n=24) was based on the Glasgow Outcome Score. Results:  Four of 28 infants died and five were severely disabled. Six infants had moderate disability. Detection of changes in the basal ganglia (p < 0.000005) or brain stem (p < 0.01), diffuse edema (p < 0.005), transtentorial herniation (p < 0.01), subarachnoid hemorrhage (p < 0.05) or parenchymal injury (p < 0.05) by neuroimaging during the first three days, and detection of changes in the basal ganglia (p < 0.0005) or brain stem (p < 0.05) or parenchymal injury (p < 0.01) during one month were significantly associated with poor long-term outcome. Conclusion:  Radiologic findings during the first month were significantly associated with the long-term outcome. Especially, basal ganglia lesions were associated with a poor outcome. © 2012 The Author(s)/Acta P&aelig;diatrica © 2012 Foundation Acta P&aelig;diatrica.
Authors:
Koji Tanoue; Kiyoshi Matsui; Kumiko Nozawa; Noriko Aida
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-2-21
Journal Detail:
Title:  Acta paediatrica (Oslo, Norway : 1992)     Volume:  -     ISSN:  1651-2227     ISO Abbreviation:  -     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-2-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9205968     Medline TA:  Acta Paediatr     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 The Author(s)/Acta Paediatrica © 2012 Foundation Acta Paediatrica.
Affiliation:
Department of general medicine, Kanagawa children's medical center Department of radiology, Kanagawa children's medical center.
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