Predictive value of early radiological findings in inflicted traumatic brain injury
Article first published online: 4 APR 2012
© 2012 The Author(s)/Acta Pædiatrica © 2012 Foundation Acta Pædiatrica
Volume 101, Issue 6, pages 614–617, June 2012
How to Cite
Tanoue, K., Matsui, K., Nozawa, K. and Aida, N. (2012), Predictive value of early radiological findings in inflicted traumatic brain injury. Acta Paediatrica, 101: 614–617. doi: 10.1111/j.1651-2227.2012.02635.x
- Issue published online: 26 APR 2012
- Article first published online: 4 APR 2012
- Accepted manuscript online: 21 FEB 2012 02:08PM EST
- Received 18 December 2011; revised 3 February 2012; accepted 13 February 2012.
- Inflicted traumatic brain injury;
- Non-accidental head trauma;
- Shaken baby syndrome
Aim: The aim of this study was to evaluate the value of early radiological investigations in predicting the long-term neurodevelopmental outcome of patients with inflicted traumatic brain injury (ITBI).
Methods: In 28 patients with ITBI, radiological investigations were performed during the acute phase of injury (0–3 days) and during the early post-injury phase (4 days to 1 month). The clinical outcome in survivors (n = 24) was based on the Glasgow Outcome Score.
Results: Four of 28 infants died and five were severely disabled. Six infants had moderate disability. Detection of changes in the basal ganglia (p < 0.000005) or brainstem (p < 0.01), diffuse oedema (p < 0.005), transtentorial herniation (p < 0.01), subarachnoid haemorrhage (p < 0.05) or parenchymal injury (p < 0.05) by neuroimaging during the first 3 days, and detection of changes in the basal ganglia (p < 0.0005) or brainstem (p < 0.05) or parenchymal injury (p < 0.01) during 1 month were significantly associated with poor long-term outcome.
Conclusion: Radiological findings during the first month were significantly associated with the long-term outcome. Especially, basal ganglia lesions were associated with a poor outcome.