Abstract
For at least 1 year we have done a follow-up on 178 children under the age of 18 years with head injuries treated between 1981 and 1987. The Brussel Coma Scale and the Glasgow Outcome Score were used to determine neurological deficits and patient outcome. In children with coma, there was good recovery or moderate disability in 71.4%, severe disability in 6.1%, and death in 22.5%. When all head injuries were taken into consideration, a satisfactory outcome was found in 84.3%, severe disability in 3.3%, and death in 12.4%. The outcome mainly depended on the initial coma grade, but the duration of coma or advanced age were also negative factors for outcome. In 14.8%, intracranial mass lesions showed no significant correlation with outcome. In contrast to adults, diffuse brain swelling had a satisfactory outcome in 85.1%.
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Alberico AM, Ward JD, Choi SC, Marmarou A, Young HF (1987) Outcome after severe head injury. J Neurosurg 67:648–656
Becker DP, Miller JD, Ward JD (1977) The outcome from severe head injury with early diagnosis and intensive management. J Neurosurg 47:491–502
Berger MS, Pitts LH, Lovely M, Edwards MSB, Bartkowski HM (1985) Outcome from severe head injury in children and adolescents. J Neurosurg 62:194–199
Brihaye J, Frowein RA, Lindgren S, Loew F, Stroobandt G (1978) Report on the Meeting of the W.F.N.S. Neuro-Traumatology Committee Brussels. Acta Neurochir (Wien) 40:181–186
Carlsson CA, Essen C von, Löfgren J (1968) Factors affecting the clinical course of patients with severe head injuries. J Neurosurg 29:242–251
Heiden JS, Small R, Caton W, Weiss MH, Kurze T (1979) Severe head injury and outcome. In: Popp AJ, Bourke RS, Nelson LR, Kimelberg HK
Jennett B, Bond M (1975) Assessment of outcome after severe brain damage. Lancet I:480–484
Jennett B, Teasdale G, Braakman R, Minderhoud J, Knill-Jones R (1976) Predicting outcome in individual patients after severe head injury. Lancet II:1031–1034
Luerssen TG, Klauber MR, Marshall LF (1988) Outcome from head injury related to patient's age. J Neurosurg 68:409–416
Narayan RK, Greenberg RP, Miller JD, Enas GG, Choi SC, Kishore PR, Selhorst JB, Lutz HA, Becker DP (1981) Improved confidence of outcome prediction in severe head injury. J Neurosurg 54:751–762
Pazzaglia P, Frank G, Frank F (1975) Clinical course and prognosis of acute post-traumatic coma. J Neurol Neurosurg Psychiatry 38:149–154
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Kalff, R., Kocks, W., Pospiech, J. et al. Clinical outcome after head injury in children. Child's Nerv Syst 5, 156–159 (1989). https://doi.org/10.1007/BF00272118
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DOI: https://doi.org/10.1007/BF00272118