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Trauma

  • Anthony J. Raimondi

Abstract

The management of craniocerebral trauma in the child is, in contrast to the adult, if anything, more dependent upon critical neurologic evaluation, fastidious observation and monitoring of neurological and vital signs, and the timely use of diagnostic procedures. The significance of the neurological evaluation, comparison of the Children’s Coma Score (CCS) to the Glasgow Coma Score (GCS), and the discussion of the Children’s Outcome Scale (COS) are presented in this text. The parameters to be observed during the stay on the pediatric neurosurgical floor, or in the pediatric neurointensive care units, are also presented. The same applies for the diagnostic studies, although it is essential at this time for one to review and to analyze critically the diagnostic studies that should be ordered and the value to be attributed to them in the decision-making process—when to operate and what operation to perform.

Keywords

Intracranial Aneurysm Subdural Hematoma Glasgow Coma Score Epidural Hematoma Superior Sagittal Sinus 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Henschen K: Diagnostik und Operation der traumatischen Subduraltung. Arch Klin Chir 99: 67, 1912.Google Scholar
  2. 2.
    Gilles R: Deux observations d’hémorragie méningée chez le nouveau, guérison après ponction décompression dans l’outre, status ulter deux petits malades et considerations thérapeutiques. Rev Mens Gynecol Obstet Pediatr 7: 465, 1912.Google Scholar
  3. 3.
    Peet MM, Kahn EA: Subdural hematoma in infants.JAMA 98: 1851–1956, 1932.Google Scholar
  4. 4.
    Salmon JH: Subdural hematoma in infants. Clin Pediatr 10: 597–9, 1971.CrossRefGoogle Scholar
  5. 5.
    Ingraham FD, Matson DD: Subdural hematoma in in fancy. J Pediatr 24: 3–37, 1944.Google Scholar
  6. 6.
    Ransohoff J: Chronic subdural hematomas treated by subdural pleural shunt. Pediatrics 20: 561–4, 1957.PubMedGoogle Scholar
  7. 7.
    Shulman K, Ransohoff J: Subdural hematomas in children. The fate of the child with retained membranes. J Neurosurg 18: 175–80, 1961.CrossRefGoogle Scholar
  8. 8.
    Collins WF, Pucci GL: Peritoneal drainage of subdural hematomas in infants. J Pediatr 58: 482–5, 1961.PubMedCrossRefGoogle Scholar
  9. 9.
    McLaurin RL, et al: Results of non-operative treatment in 15 cases of subdural hematoma. J Neurosurg 34: 753–9, 1971.PubMedCrossRefGoogle Scholar
  10. 10.
    Gutierrez FA, McLone DG, Raimondi AJ: Physiopathol in children. Child’s Brain 5: 216–32, 1979.PubMedGoogle Scholar
  11. 11.
    Dandy WE: Intracranial Arterial Aneurysms. Ithaca, NY, Comstock Publishing, 1944, p 147.Google Scholar
  12. 12.
    Alpers BJ: Aneurysms of the circle of Willis: Morphological and clinical considerations. In Intracranial Aneurysms and Subarachnoid Hemorrhage. Springfield, IL, Charles C Thomas, 1965.Google Scholar
  13. 13.
    McCromich WF, Nofzinger JD: Saccular intracranial an eurysms. An autopsy study. J Neurosurg 22: 155–9, 1965.CrossRefGoogle Scholar
  14. 14.
    McDonald CA, Korb M: Intracranial aneurysms. ArchGoogle Scholar
  15. 15.
    Pool JL, Potts DB: Aneurysms and Arteriovenous Anom- Neurosurg p 463.Google Scholar
  16. 16.
    Housepian EM, Pool JL: A systematic analysis of intracranial aneurysms from the autopsy file of the Presbyte rian Hospital. J Neuropathol Exp Neurol 17: 409–23, 1958.PubMedCrossRefGoogle Scholar
  17. 17.
    Hamby WB: Intracranial Aneurysms. Springfield, IL, Charles C Thomas 1952, p 564.Google Scholar
  18. 18.
    Poppen JL: Specific treatment of intracranial aneurysms. Experiences with 143 surgically treated patients. J Neu- rosurg 8: 75–102, 1951.Google Scholar
  19. 19.
    Carmichael R: The pathogenesis of non-inflammatory ce- London, Edward Arnold, 1962, p 501.Google Scholar
  20. 20.
    Forster FM, Alpers BJ: Anatomical defects and patholog- changes in congenital cerebral aneurysms. J Neu ropathol Exp Neurol 4: 146–54, 1945.CrossRefGoogle Scholar
  21. 21.
    Stehbens WE: Medial defects of the cerebral arteries of man. J Pathol Bacteriol 78: 179–85, 1959.PubMedCrossRefGoogle Scholar
  22. 22.
    Walker AE: The pathology and pathogenesis of cerebral aneurysms. J Neuropathol Exp Neurol 13: 248–59, 1954.PubMedCrossRefGoogle Scholar
  23. 23.
    Walker AE, Allégre GE: Histopathologie et pathogénie des aneurysmes artériels cérébraux. Rev Neurol 89: 477–90, 1953.PubMedGoogle Scholar
  24. 24.
    Wilson G, Riggs HE, Rupp C: The pathologic anatomy of ruptured cerebral aneurysms. J Neurosurg 11: 128–34, 1954.PubMedCrossRefGoogle Scholar
  25. 25.
    Nystrom SHM: Development of intracranial aneurysms as revealed by electron microscopy. J Neurosurg 20: 329–37, 1963.CrossRefGoogle Scholar
  26. 26.
    Sawyer PN, Pate JW: Bioclectric phenomena as an etio logic factor in intravascular thrombosis. Am J Physiol 175: 103–6, 1943.Google Scholar
  27. 27.
    Odom GL, Woodhall B, Tindall GT, Jackson JR: Chan ges in distal intravascular pressure and size of intracranial aneurysm following common carotid ligation. J Neurosurg 19: 41–50, 1962.PubMedCrossRefGoogle Scholar
  28. 28.
    Wright RL, Sweet WH: Intra-arterial pressure determina tion at the time of carotid occlusion. In Intracranial Aneu rysms and Subarachnoid Hemorrhage. Springfield, IL, Charles C Thomas, 1956, p 324 47.Google Scholar
  29. 29.
    Kuhn RA, Kugler H: False aneurysms of middle men ingeal artery. J Neurosurg 21: 92–6, 1964.PubMedCrossRefGoogle Scholar
  30. 30.
    Araki C, Handa H, Handa J, Yashida K: Traumatic aneu rysm of the intracranial extradural portion of the internal carotid artery. J Neurosurg 23: 64 7, 1965.Google Scholar
  31. 31.
    Birley J L, Trotter W: Traumatic aneurysm of the intracra nial portion of the internal carotid artery. Brain 51: 184–208, 1928.CrossRefGoogle Scholar
  32. 32.
    Finkemeyer H: Ein säckchenförmiges Aneurysma der A. cerebri media als postoperative Komplikation. F bl Neu rochir 15: 302–5, 1955.Google Scholar
  33. 33.
    Taylor PE: Delayed post-operative hemorrhage from in tracranial aneurysm after craniotomy for tumor. Neurolo gy 11: 225–31, 1961.CrossRefGoogle Scholar
  34. 34.
    Raskind R: An intracranial arterial aneurysm associated with a recurrent meningioma. J Neurosurg 23: 622–5, 1965.PubMedCrossRefGoogle Scholar
  35. 35.
    McKissock W: Recurrence of an intracranial aneurysm Neurol Psychiatry 42:298–328, 1939. after excision. J Neurosurg 23: 547–8, 1965.PubMedCrossRefGoogle Scholar
  36. 36.
    Bjorkesten GA, Troupp H: Changes in the size of intra-alies of the Brain. New York, Harper and Row, 1965, cranial arterial aneurysms. J 19: 583–88, 1962.Google Scholar
  37. 37.
    Sadik AR, Budzilovich GN, Schulman K: Giant aneu rysm of middle cerebral artery. A case report. J Neurosurg 22: 177–81, 1965.PubMedCrossRefGoogle Scholar
  38. 38.
    Allen EV, Barker NW, Hines EA Jr: Peripheral Vascu lar Diseases. Philadelphia and London, Saunders, 1962, p 1044.Google Scholar
  39. 39.
    Crompton MR: The pathology of ruptured middle cere bral aneurysms. Lancet 2: 421–5, 1962.PubMedCrossRefGoogle Scholar
  40. 40.
    Fabian G: Traumatisches Aneurysma der Carotisinterna in der Keilbeinhöhle. H.N.D. 6: 42–5, 1956.Google Scholar
  41. 41.
    Kinmonth JB, Rob CG, Simeone FA: Vascular Surgery. rebral aneurysms. J Pathol Bacteriol 62: 1–19, 1950.CrossRefGoogle Scholar
  42. 42.
    Sugar O: Pathological anatomy and angiography of intra-ical cranial vascular anomalies. J Neurosurg 8: 3–22, 1951.PubMedCrossRefGoogle Scholar
  43. 43.
    Cressman MR, Hayes GJ: Traumatic aneurysm on the anterior choroidal artery. J Neurosurg 24: 102–4, 1966.PubMedCrossRefGoogle Scholar
  44. 44.
    Goald HJ, Ronderos A: Traumatic perforation of the in tracranial portion of the internal carotid artery with eleven day survival. J Neurosurg 18: 401–4, 1961.PubMedCrossRefGoogle Scholar
  45. 45.
    Lunn GM: False cerebral aneurysm of the vertebral artery from remote missle injury of the neck. Br J Surg War 1: 258–60, 1947.Google Scholar
  46. 46.
    Hirsch JR, David M, Sachs M: Les aneurysms artériels traumatiques intracraniens. Neurochirurgie 8: 189–201, 1962.PubMedGoogle Scholar
  47. 47.
    Overton MC, Calvin TH Jr: Iatrogenic cerebral cortical aneurysm: Case Report. J Neurosurg 24: 672–5, 1966.PubMedCrossRefGoogle Scholar
  48. 48.
    Pouyanne H, Leman P, Got M, Gouaze A: Aneurysme artériel traumatique de la méningée moyenne gauche. Rupture un mois après l’accident. Hématome intracérébral temporal. Intervention. Neurochirurgie 5: 311–5, 1959.Google Scholar
  49. 49.
    Vaughn BF: Middle meningeal haemorrhage demonstrated angiographically. Br J Radiol 32: 493–4, 1959.CrossRefGoogle Scholar
  50. 50.
    Taveras JM, Wood EH: Diagnostic Neuroradiology. Baltimore, Williams and Wilkins, 1960, p 1958.Google Scholar
  51. 51.
    Blackwood W, McMenemey WH, Meyer A, Norman RM, Russel DS: Greenfield’s Neuropathology, Baltimore, Williams and Wilkins, 1963, p 679.Google Scholar
  52. 52.
    Paillas JE, Bonnal J, LaVieille J: Angiographic images of false aneurysmal sac caused by rupture of median meningeal artery in the course of traumatic extradural hematoma: Report of 3 cases. J Neurosurg 21: 667–71, 1964.PubMedCrossRefGoogle Scholar
  53. 53.
    De Takats G: Vascular Surgery. Philadelphia and London, Saunders, 1959, p 726.Google Scholar
  54. 54.
    Krauland W: Zur Entstehung traumatischer Aneurysmen der Schlagadern am Hirngrund. Schweiz Z Pathol Bakteriol 12: 113–27, 1949.PubMedGoogle Scholar
  55. 55.
    Jane JA: A large aneurysm of the posterior inferior cerebellar artery in one-year-old child. J Neurosurg 18: 245–7, 1961.PubMedCrossRefGoogle Scholar
  56. 56.
    Raimond AJ, Yashon D, Reyes C, Yarzagaray L: Intra-cranial false aneurysms. Neurochirurgia 11: 219–33, 1968.Google Scholar
  57. 57.
    Glynn Le: Medial defects in the circle of Willis and their relation to aneurysm formation. J Pathol Bacteriol 51: 213–22, 1940.CrossRefGoogle Scholar
  58. 58.
    Norman RM, Urich H: Dissecting aneurysm of the mid dle cerebral artery as a cause of acute infantile hemiplegia. J Pathol Bacteriol 73: 580–2, 1957.CrossRefGoogle Scholar
  59. 59.
    Richardson JC, Hyland HH: Intracranial aneurysms. Medicine 20: 1–83, 1941.CrossRefGoogle Scholar
  60. 60.
    Scott GE, Neubuerger KT, Denst J: Dissecting aneurysms of intracranial arteries. Neurology 10: 22–7, 1960.PubMedCrossRefGoogle Scholar
  61. 61.
    Wolman L: Cerebral dissecting aneurysms. Brain 82: 276–91, 1959.PubMedCrossRefGoogle Scholar
  62. 62.
    Boldrey Eb: Cited by Raskind R: An intracranial arterial aneurysm associated with a recurrent meningioma. J Neurosurg 23: 622–5, 1965.CrossRefGoogle Scholar
  63. 63.
    White JC, Sayre GP, Whisnant JP: Experimental destruction of the media for the production of intracranial aneurysms. J Neurosurg 18: 741–5, 1961.PubMedCrossRefGoogle Scholar

Uncited References

  1. Gutierrez FA, McLone DG, Raimondi AJ: Epidural hematomas in infancy and childhood. In Hoffman H, Epstein F, Raimondi (eds): Concepts in Pediatric Neurosurgery I. Basel, S Karger, 1981, p 188.Google Scholar
  2. Gutierrez FA, Raimondi AJ: Acute subdural hematoma in infancy and childhood. Child’s Brain 1: 269–90, 1975.PubMedGoogle Scholar
  3. Gutierrez FA, Raimondi AJ: Delayed onset of acute post-traumatic subdural effusion. Em J Dis Child 128: 327–31, 1974.Google Scholar
  4. Hahn Y, Raimondi AJ, McLone DG, Yamanouchi Y: Traumatic mechanisms of head injury in child abuse. Child’s Brain 10: 229–41, 1983.PubMedGoogle Scholar
  5. Raimondi AJ: The neuroradiologic evaluation of craniocerebral injury in the newborn and infant. Minerva Pediatr 21: 1251–63, 1969.PubMedGoogle Scholar
  6. Raimondi AJ, Matsumoto S: Acute head injuries in infancy and childhood. Chicago Med School Q 25: 60, 1965.Google Scholar

Copyright information

© Springer Science+Business Media New York 1987

Authors and Affiliations

  • Anthony J. Raimondi

There are no affiliations available

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