Assessing the Role of Neurosurgical Consultation in The Treatment of Isolated Linear Pediatric Skull Fractures
DOI:
https://doi.org/10.59675/U223Abstract
Objective: Head injuries represent a significant issue for emergency pediatric care. Most brain injuries are rather minor. The majority of individuals experience positive results even when computed tomography (CT) reveals abnormalities. Our goal was to assess the Glasgow Coma Scale (GCS) and clinical course of pediatric patients with head trauma. Score of 15, in which aberrant findings on cranial CT were observed, in order to ascertain the influence of radiographic characteristics on the necessity of hospitalization and the course of clinical care. Methods: Patients under the age of five to thirteen who had inaccessible mild head injuries, GCS scores of fifteen, aberrant CT results, and who were admitted to the emergency room between July 2021 and August 2023 were retrospectively examined.
Results: The study involved ninety patients. There were 55 patients (66%) who were male, and (5–13 years). Hospitalization was necessary for eighty-six (85%) of the patients, with a median stay of one day (one to five days). Repeat CT was performed on sixty-eight (70%) of the patients, and radiographic progression was seen in 15 (25%) of the patients. Two patients (3%), out of the ten patients, required surgery for their subdural or epidural hematomas. No radiological or clinical deterioration was observed in patients with a single skull fracture or subarachnoid hemorrhage.
Conclusion, even when CT scans reveal abnormalities, surgery may not always be necessary for individuals with head injuries aged 5 to 13 who take a GCS score of 10. Patients with isolated skull fractures before subarachnoid hemorrhages, in example, may not always need to be hospitalized. To validate the results of this investigation, a validation study is required.
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