caa a22 4500 47710827X CHVBK 20180405111601.0 cr unu---uuuuu 170330e19960501xx s 000 0 eng 10.1007/BF01411174 doi (NATIONALLICENCE)springer-10.1007/BF01411174 Computerized tomography and prognosis in paediatric head injury [Elektronische Daten] [T. Tomberg, U. Rink, E. Pikkoja, A. Tikk] Summary: The authors have analysed the computerized tomography (CT) findings and their correlation with the clinical state, early and late outcome in children and adolescents with head injuries (HI). This study represents clinical and CT data of 82 consecutive HI patients under 18 years of age. Among them 51 (62%) were boys and 31 (38%) girls. The application of CT to the evaluation of the morphologic manifestations of HI in children has shown some differences in forms and mechanisms of injury and in outcome compared to adults. In the paediatric HI the most frequent finding was diffuse brain swelling with CT evidence of ventricular and cisternal compression or obliteration. Prognostically the most unfavourable findings were shearing injury, intracerebral and subdural haematomas combined with brain swelling and parenchymal damage. According to the Lidcombe impairment scale, outcome from severe paediatric HI was determined in the 3rd and 6th months, one year and 2 years after the injury. The outcome two years after severe HI varied to a great extent and was better in children than in adults. Although there was long-term disruption of the patient's quality of life, our data show that as there are no predictors of individual outcomes in child HI, no child should be excluded from early and long-term rehabilitation. Springer-Verlag, 1996 Paediatric head injury nationallicence computerized tomography nationallicence outcome nationallicence Tomberg T. Department of Neurology and Neurosurgery, Tartu University Hospital, Tartu, Estonia aut Rink U. Department of Neurology and Neurosurgery, Tartu University Hospital, Tartu, Estonia aut Pikkoja E. Department of Neurology and Neurosurgery, Tartu University Hospital, Tartu, Estonia aut Tikk A. Department of Neurology and Neurosurgery, Tartu University Hospital, Tartu, Estonia aut Acta Neurochirurgica Springer-Verlag 138/5(1996-05-01), 543-548 0001-6268 138:5<543 1996 138 701 https://doi.org/10.1007/BF01411174 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF01411174 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Tomberg T. Department of Neurology and Neurosurgery, Tartu University Hospital, Tartu, Estonia aut NATIONALLICENCE 700 1- Rink U. Department of Neurology and Neurosurgery, Tartu University Hospital, Tartu, Estonia aut NATIONALLICENCE 700 1- Pikkoja E. Department of Neurology and Neurosurgery, Tartu University Hospital, Tartu, Estonia aut NATIONALLICENCE 700 1- Tikk A. Department of Neurology and Neurosurgery, Tartu University Hospital, Tartu, Estonia aut NATIONALLICENCE 773 0- Acta Neurochirurgica Springer-Verlag 138/5(1996-05-01), 543-548 0001-6268 138:5<543 1996 138 701 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer