TY  - JOUR
PY  - 2012//
TI  - Predictive value of early radiological findings in inflicted traumatic brain injury
JO  - Acta paediatrica
A1  - Tanoue, Koji
A1  - Matsui, Kiyoshi
A1  - Nozawa, Kumiko
A1  - Aida, Noriko
SP  - 614
EP  - 617
VL  - 101
IS  - 6
N2  - 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.<p />  <p>Language: en</p>
LA  - en
SN  - 0803-5253
UR  - http://dx.doi.org/10.1111/j.1651-2227.2012.02635.x
ID  - ref1
ER  -