Document Detail


Is there a causal relationship between the hypoxia-ischaemia associated with cardiorespiratory arrest and subdural haematomas? An observational study.
MedLine Citation:
PMID:  20647510     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The aim of this study was to determine the frequency of subdural haematomas (SDHs) occurring in infants presenting following atraumatic cardiorespiratory collapse. This study was a review of retrospective case notes, brain imaging and post-mortem examinations carried out in the paediatric intensive care unit (PICU) and emergency department (ED) in a tertiary paediatric centre in the UK. The study included infants and children less than 4 years old dying in the ED or admitted to the PICU after atraumatic cardiorespiratory arrest. We identified macroscopic SDHs on brain imaging or post-mortem examination. Of those children who experienced a cardiorespiratory arrest from a non-traumatic cause and met inclusion criteria, 33 presented and died in the ED and 17 were admitted to the PICU. These children had a post-mortem examination, brain imaging or both. None of these infants had a significant SDH. One child had a small clot adherent to the dura found on post-mortem and two had microscopic intradural haemorrhage, but it is unclear in each case whether this was artefact, as each had otherwise normal brains. Subdural haematoma arising in infants or young children in the context of catastrophic cardiorespiratory compromise from a non-traumatic cause was not observed.
Authors:
M Hurley; R Dineen; C J H Padfield; S Wilson; T Stephenson; H Vyas; N McConachie; T Jaspan
Publication Detail:
Type:  Journal Article     Date:  2010-07-20
Journal Detail:
Title:  The British journal of radiology     Volume:  83     ISSN:  1748-880X     ISO Abbreviation:  Br J Radiol     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-26     Completed Date:  2011-02-03     Revised Date:  2013-02-19    
Medline Journal Info:
Nlm Unique ID:  0373125     Medline TA:  Br J Radiol     Country:  England    
Other Details:
Languages:  eng     Pagination:  736-43     Citation Subset:  AIM; IM    
Affiliation:
University of Nottingham, Nottingham, UK.
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MeSH Terms
Descriptor/Qualifier:
Autopsy
Brain Edema / diagnosis,  etiology*,  mortality
Brain Injuries / complications*,  diagnosis,  mortality
Child Abuse / statistics & numerical data
Child, Preschool
Dura Mater* / anatomy & histology,  pathology
Female
Great Britain
Heart Arrest / complications*
Hematoma, Subdural / diagnosis,  etiology*,  mortality
Humans
Hypoxia, Brain / complications*,  mortality,  pathology
Infant
Infant, Newborn
Magnetic Resonance Imaging
Male
Retrospective Studies
Risk Factors
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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