caa a22 4500 463180003 CHVBK 20180406164836.0 cr unu---uuuuu 170326e20070301xx s 000 0 eng 10.1007/s00381-006-0230-4 doi (NATIONALLICENCE)springer-10.1007/s00381-006-0230-4 Supratentorial epidural hematoma of traumatic etiology in infants [Elektronische Daten] [A. Ciurea, E. Kapsalaki, T. Coman, J. Roberts, J. Robinson III, A. Tascu, F. Brehar, K. Fountas] Introduction and background: Traumatic epidural hematoma (EDH) represents a rare head injury complication in infants. Its diagnosis can be quite challenging because its clinical presentation is usually subtle and nonspecific. In our current communication, we present our data regarding the presentation of infants with EDH, their management, and their long-term outcome. Materials and methods: In a retrospective study, the hospital and outpatient clinic charts and imaging studies (head CT and skull X-rays) of 31 infants with pure, supratentorial EDH of traumatic origin were meticulously reviewed. Children Coma Scale score and Trauma Infant Neurologic Score (TINS) were also reviewed. The most common presenting symptom was irritability, which occurred in 18/31 (58.1%) of our patients. Pallor (in 30/31 patients) and cephalhematoma (in 21/31 patients) were the most commonly occurring clinical signs upon admission; both signs represent signs of significant clinical importance. Surgical evacuation via a craniotomy was required in 24/31 of our patients, while 7/31 patients were managed conservatively. The mortality rate in our series was 6.5% (2/31 patients), and our long-term morbidity rate was 3.2% (1/31 patients). Conclusions: EDH in infants represents a life-threatening complication of head injury, which requires early identification and prompt surgical or conservative management depending on the patient's clinical condition, size of EDH, and presence of midline structure shift on head CT scan. Mortality and long-term morbidity are low with early diagnosis and prompt treatment. Springer-Verlag, 2006 Cephalhematoma nationallicence Epidural hematoma nationallicence Infant nationallicence Outcome nationallicence Pallor nationallicence Traumatic Infant Neurologic Score (TINS) nationallicence Ciurea A. Department of Neurosurgery, Clinics and Hospital "Bagdasar-Arseni”, Bucharest, Romania aut Kapsalaki E. Department of Neuroradiology, Medical Center of Central Georgia, Macon, GA, USA aut Coman T. Department of Neurosurgery, Clinics and Hospital "Bagdasar-Arseni”, Bucharest, Romania aut Roberts J. Department of Neurosurgery, Medical Center of Central Georgia, Macon, GA, USA aut Robinson III J. Department of Neurosurgery, Medical Center of Central Georgia, Macon, GA, USA aut Tascu A. Department of Neurosurgery, Clinics and Hospital "Bagdasar-Arseni”, Bucharest, Romania aut Brehar F. Department of Neurosurgery, Clinics and Hospital "Bagdasar-Arseni”, Bucharest, Romania aut Fountas K. Department of Neurosurgery, Medical Center of Central Georgia, Macon, GA, USA aut Child's Nervous System Springer-Verlag 23/3(2007-03-01), 335-341 0256-7040 23:3<335 2007 23 381 https://doi.org/10.1007/s00381-006-0230-4 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00381-006-0230-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Ciurea A. Department of Neurosurgery, Clinics and Hospital "Bagdasar-Arseni”, Bucharest, Romania aut NATIONALLICENCE 700 1- Kapsalaki E. Department of Neuroradiology, Medical Center of Central Georgia, Macon, GA, USA aut NATIONALLICENCE 700 1- Coman T. Department of Neurosurgery, Clinics and Hospital "Bagdasar-Arseni”, Bucharest, Romania aut NATIONALLICENCE 700 1- Roberts J. Department of Neurosurgery, Medical Center of Central Georgia, Macon, GA, USA aut NATIONALLICENCE 700 1- Robinson III J. Department of Neurosurgery, Medical Center of Central Georgia, Macon, GA, USA aut NATIONALLICENCE 700 1- Tascu A. Department of Neurosurgery, Clinics and Hospital "Bagdasar-Arseni”, Bucharest, Romania aut NATIONALLICENCE 700 1- Brehar F. Department of Neurosurgery, Clinics and Hospital "Bagdasar-Arseni”, Bucharest, Romania aut NATIONALLICENCE 700 1- Fountas K. Department of Neurosurgery, Medical Center of Central Georgia, Macon, GA, USA aut NATIONALLICENCE 773 0- Child's Nervous System Springer-Verlag 23/3(2007-03-01), 335-341 0256-7040 23:3<335 2007 23 381 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer