By Vittorio Miele, Margherita Trinci
This ebook offers a close and complete review of the position of diagnostic imaging within the overview and administration of trauma and polytrauma in teenagers. The assurance comprises imaging of accidents to the top, thorax, stomach, bone and musculoskeletal procedure, with cautious consciousness to the most recent imaging recommendations, imaging throughout the process restoration and imaging of problems. a chain of illustrative instances underline the prognostic worth of imaging. furthermore, anyone bankruptcy is dedicated to diagnostic imaging in situations of kid abuse. The booklet concludes through discussing expert consent and medicolegal matters on the topic of the imaging of pediatric irritating emergencies. Imaging Trauma and Polytrauma in Pediatric sufferers will be necessary in permitting radiologists and clinicians to spot the most good points and indicators of accidents on a variety of imaging recommendations, together with X-ray, ultrasonography, computed tomography and magnetic resonance imaging.
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Additional info for Imaging Trauma and Polytrauma in Pediatric Patients
J Magn Reson Imaging 28(4):823–836 38. Han BK, Towbin RB, de Courten-Myers G, McLaurin RL, Ball WS (1990) Reversal sign on CT: effect of anoxic/ischemic cerebral injury in children. Am J Roentgenol 154:361 39. Rao P, Carty H, Pierce A (1999) The acute reversal sign: comparison to medical and nonaccidental injury patients. Clin Radiol 54:495–501 40. Smith DH, Meaney DF, Shull WH (2003) Diffuse axonal injury in head trauma. J Head Trauma Rehabil 18(4):307–316 41. Hafiz MZ, Saffari MH (2011) Characteristic differences in neuroimaging and physical findings between non-accidental and accidental traumatic brain injury in young children.
Extracranial haemorrhage with caput succedaneum or subgaleal haemorrhage or cephalohaematoma can be caused during the delivery. Intracranial haemorrhage is less frequent than the extracranial one, and subdural haematoma at the tentorium, falx or convexity are usually associated with prolonged and traumatic delivery . Nonaccidental head injury in children (NAHI) , most often due to abusive head trauma (AHT), is not uncommon and carries a high risk of mortality and morbidity. AHT involves an inflicted injury to the head and its contents including injuries caused by shaking and blunt impact.
Amnesia (anterograde or retrograde) lasting >5 min The management of a mild trauma patient with a brief change in mental state or consciousness, or severe TBI with prolonged unconsciousness or coma, requires an immediate CT scan and then an MRI in order to detect DAI . No specific guidelines are published for the management of ‘birth trauma’ or ‘perinatal trauma’. They include injuries occurring during labour or delivery, caused by mechanical factors. Despite the improvement of obstetric-developed manoeuvres, these events still occur quite frequently.
Imaging Trauma and Polytrauma in Pediatric Patients by Vittorio Miele, Margherita Trinci