Diffuse Brain Swelling in Severely Head Injured Patients.
- Author:
Kwang Soo RHEE
1
;
Sung Don KANG
;
Tae Young KIM
;
Jong Moon KIM
Author Information
1. Departments of Neurosurgery, School of Medicine, Wonkwang University, Iri, Korea.
- Publication Type:Original Article
- Keywords:
Severe head injury;
Diffuse brain swelling;
Mortality;
Adult;
Children
- MeSH:
Adult;
Brain Edema*;
Brain*;
Child;
Head*;
Humans;
Incidence;
Mortality;
Neurosurgery
- From:Journal of Korean Neurosurgical Society
1991;20(6):414-418
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Diffuse brain swelling(bilateral swelling without shift or other lesions ; DBS) after severe head injuy in children is very common event and that DBS in children is thought to be associated with a low mortality, generally compared with adult. In this study, DBS ws compared in 9 Children and 18 adults, selected among 222 cases of severe head injured patients admitted to the Department of Neurosurgery for 4 years from January 1986 toDecember 1989. The results were summarized as follows ; 1) The incidence of DBS in children(39.1%) was about 4 time as high as for adult(9.0%). 2) There was no significant difference of mortality rate in pediatric and adult group showing DBS but there was a significant low mortality rate in pediatric group without showing DBS, in contrast to other studies.
