Traumatic Brain Injury in Childhood.
- Author:
Myong Sun RYU
1
;
Keon Su LEE
Author Information
1. Department of Pediatrics, Daejon Sun General Hospital, Daejeon Korea.
- Publication Type:Original Article
- Keywords:
Traumatic brain injury;
Seizures;
Glasgow Coma Scale
- MeSH:
Blood Glucose;
Brain;
Brain Injuries*;
Child;
Chungcheongnam-do;
Coma;
Female;
Follow-Up Studies;
Glasgow Coma Scale;
Humans;
Learning;
Male;
Medical Records;
Prognosis;
Pupil;
Retrospective Studies;
Seizures
- From:
Journal of the Korean Child Neurology Society
2006;14(1):87-93
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: This study was undertaken to investigate the traumatic brain injury(TBI) in childhood and to identify factors related with its prognosis. METHODS: The medical records of 256 children with traumatic brain injury were analyzed retrospectively, who were treated in Chungnam National University Hospital for more than 6 years from January, 1998 to December, 2003. Outcomes were classified by age, sex, cause, Glasgow Coma Scale(GCS), Glasgow Outcome Scale(GOS), sequelae and so forth. RESULTS: A total of 256 patients were identified. The male to female ratio was 1.9:1. The main cause of TBI was traffic accidents(67.1%), followed by falls(25.8%). The outcomes of TBI were determined by GOS, in which death occurred in 16 cases(6.2%), severe disabilities in 11 cases(4.3%), moderate disabilities in 24 cases(9.4%), and good recoveries in 205 cases(80.1%). Poor prognostic factors were low GCS, post-traumatic early seizure, high blood glucose levels and abnormal pupil reflexes(P<0.05). The sequelae of TBI were quadriparesis(3.5%), learning disability(3%), mental retardation(2.3%), hemiparesis(1.6%) and others. CONCLUSION: This study suggest that it is possible to predict poor outcomes of TBI children by assessing the clinical manifestations. A long term follow-up of seizures and other sequelae is essential to TBI children who have poor prognosis.
