| Predictive value of early radiological findings in inflicted traumatic brain injury. | |
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MedLine Citation:
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PMID: 22353249 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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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 Pædiatrica © 2012 Foundation Acta Pædiatrica. |
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Authors:
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Koji Tanoue; Kiyoshi Matsui; Kumiko Nozawa; Noriko Aida |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-2-21 |
Journal Detail:
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Title: Acta paediatrica (Oslo, Norway : 1992) Volume: - ISSN: 1651-2227 ISO Abbreviation: - Publication Date: 2012 Feb |
Date Detail:
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Created Date: 2012-2-22 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9205968 Medline TA: Acta Paediatr Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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© 2012 The Author(s)/Acta Paediatrica © 2012 Foundation Acta Paediatrica. |
Affiliation:
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Department of general medicine, Kanagawa children's medical center Department of radiology, Kanagawa children's medical center. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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