Display options
Cite
Binder H, Majdan M, Leitgeb J, et al. Management and Outcome of Traumatic Intracerebral Hemorrhage in 79 Infants and Children from a Single Level 1 Trauma Center. Children (Basel). 2021;8(10)doi: 10.3390/children8100854.
Binder, H., Majdan, M., Leitgeb, J., Payr, S., Breuer, R., Hajdu, S., & Tiefenboeck, T. M. (2021). Management and Outcome of Traumatic Intracerebral Hemorrhage in 79 Infants and Children from a Single Level 1 Trauma Center. Children (Basel, Switzerland), 8(10), . https://doi.org/10.3390/children8100854
Binder, Harald, et al. "Management and Outcome of Traumatic Intracerebral Hemorrhage in 79 Infants and Children from a Single Level 1 Trauma Center." Children (Basel, Switzerland) vol. 8,10 (2021). doi: https://doi.org/10.3390/children8100854
Binder H, Majdan M, Leitgeb J, Payr S, Breuer R, Hajdu S, Tiefenboeck TM. Management and Outcome of Traumatic Intracerebral Hemorrhage in 79 Infants and Children from a Single Level 1 Trauma Center. Children (Basel). 2021 Sep 26;8(10). doi: 10.3390/children8100854. PMID: 34682119; PMCID: PMC8534601.
Copy Download .nbib Format: NLM
Share it on

Children (Basel). 2021 Sep 26;8(10). doi: 10.3390/children8100854.

Management and Outcome of Traumatic Intracerebral Hemorrhage in 79 Infants and Children from a Single Level 1 Trauma Center.

Children (Basel, Switzerland)

Harald Binder, Marek Majdan, Johannes Leitgeb, Stephan Payr, Robert Breuer, Stefan Hajdu, Thomas M Tiefenboeck

Affiliations

  1. Department of Trauma Surgery, Medical University of Vienna, 1090 Vienna, Austria.
  2. Institute for Global Health and Epidemiology, Department of Public Health, Trnava University, 91701 Trnava, Slovakia.

PMID: 34682119 PMCID: PMC8534601 DOI: 10.3390/children8100854

Abstract

OBJECTIVE: Traumatic brain injury is a leading form of pediatric trauma and a frequent cause of mortality and acquired neurological impairment in children. The aim of this study was to present the severity and outcomes of traumatic intracerebral bleeding in children and adolescence.

METHODS: Seventy-nine infants and children with intracerebral bleedings were treated between 1992 and 2020 at a single level 1 trauma center. Data regarding accident, treatment and outcomes were collected retrospectively. The Glasgow Outcome Scale was used to classify the outcome at hospital discharge and at follow-up visits. CT scans of the brain were classified according to the Rotterdam score.

RESULTS: In total, 41 (52%) patients with intracerebral bleedings were treated surgically, and 38 (48%) patients were treated conservatively; in 15% of the included patients, delayed surgery was necessary. Patients presenting multiple trauma (

CONCLUSION: The findings in this study verified intracerebral bleeding as a rare but serious condition. Patients presenting with multiple traumas, higher initial ISS, poor initial neurological status and a higher Rotterdamscore were more likely treated by surgery.

TRIAL REGISTRATION: (researchregistry 2686).

Keywords: children and adolescent; infants; intracerebral hemorrhage; outcome; prognostic factors; traumatic brain injury

References

  1. Brain Pathol. 2008 Oct;18(4):571-82 - PubMed
  2. J Neurosurg Pediatr. 2015 Nov;16(5):508-514 - PubMed
  3. World Neurosurg. 2019 Sep;129:e56-e62 - PubMed
  4. Acad Radiol. 2009 May;16(5):572-7 - PubMed
  5. J Neurotrauma. 2006 Oct;23(10):1502-9 - PubMed
  6. Brain Inj. 1989 Jul-Sep;3(3):247-65 - PubMed
  7. Childs Nerv Syst. 1999 May;15(5):267-9; discussion 270 - PubMed
  8. Stroke. 2014 Jan;45(1):315-53 - PubMed
  9. Childs Nerv Syst. 2001 Feb;17(3):154-62 - PubMed
  10. Neurology. 2014 Jun 17;82(24):2180-6 - PubMed
  11. Childs Nerv Syst. 2010 Nov;26(11):1563-73 - PubMed
  12. Stroke. 2009 Feb;40(2):400-5 - PubMed
  13. J Neurosurg. 2005 May;102(4 Suppl):380-4 - PubMed
  14. Neurosurgery. 2019 Jun 1;84(6):1169-1178 - PubMed
  15. Arch Pediatr Adolesc Med. 2000 Jan;154(1):11-5 - PubMed
  16. Childs Nerv Syst. 2003 Sep;19(9):666-73 - PubMed
  17. Med Intensiva. 2015 Oct;39(7):422-32 - PubMed
  18. N Engl J Med. 1998 Jun 18;338(25):1822-9 - PubMed
  19. J Neurosurg. 1983 Nov;59(5):762-74 - PubMed
  20. Pediatr Neurosurg. 2009;45(1):37-45 - PubMed
  21. Pediatrics. 2010 Jul;126(1):e33-9 - PubMed
  22. Pediatr Neurosurg. 1992;18(5-6):266-71 - PubMed
  23. Crit Care. 2003 Dec;7(6):R133-8 - PubMed
  24. J Neurosurg Sci. 1992 Oct-Dec;36(4):201-6 - PubMed
  25. Brain Dev. 2003 Sep;25(6):416-21 - PubMed
  26. J Neurosurg. 2014 Feb;120(2):447-52 - PubMed
  27. Surg Neurol. 2001 Aug;56(2):82-8 - PubMed
  28. J Child Neurol. 2000 May;15(5):284-9 - PubMed
  29. Surg Neurol. 1989 Sep;32(3):181-7 - PubMed
  30. Childs Nerv Syst. 1989 Oct;5(5):303-6 - PubMed
  31. Pediatr Clin North Am. 1992 Oct;39(5):1093-125 - PubMed
  32. J Neurosurg Sci. 2015 Dec;59(4):405-28 - PubMed
  33. Dev Med Child Neurol. 2011 Mar;53(3):281-4 - PubMed
  34. Pediatr Crit Care Med. 2003 Jul;4(3 Suppl):S2-4 - PubMed
  35. Arch Dis Child. 2007 Apr;92(4):343-7 - PubMed
  36. Front Neurol. 2020 Nov 17;11:587587 - PubMed
  37. Pediatrics. 1992 Aug;90(2 Pt 1):179-85 - PubMed
  38. Neurosurgery. 2006 Mar;58(3 Suppl):S25-46; discussion Si-iv - PubMed
  39. Kaohsiung J Med Sci. 1999 Mar;15(3):146-51 - PubMed
  40. Neurol Med Chir (Tokyo). 2016 May 15;56(5):264-73 - PubMed
  41. Arch Neurol. 2008 Dec;65(12):1629-33 - PubMed
  42. Neurosurgery. 2005 Dec;57(6):1173-82; discussion 1173-82 - PubMed
  43. Stroke. 2009 May;40(5):1666-71 - PubMed
  44. Membr Cell Biol. 2000;13(3):389-96 - PubMed
  45. Zh Nevrol Psikhiatr Im S S Korsakova. 2020;120(4):72-80 - PubMed
  46. J Neurosurg. 1987 Nov;67(5):648-56 - PubMed
  47. Arch Dis Child. 2005 Nov;90(11):1182-7 - PubMed

Publication Types