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Prevalence and Etiology of Intracranial Hemorrhage in Term Children Under the Age of Two Years: A Retrospective Study of Computerized Tomographic Imaging and Clinical Outcome in 798 Children

Zakhary, Mina M.; Wesolowski, Jeffrey R.; Sewick, Amy E.; Carlson, Martha; Mehrotha, Neha; Maly, Pavel LU and Sundgren, Pia C. (2009) In Academic Radiology 16(5). p.572-577
Abstract
Rationale and Objectives. The purposes of this study were to retrospectively identify various etiologies underlying intracranial hemorrhages (ICHs) in term infants aged <2 years and their respective prevalence in this population and to describe the long-term clinical outcomes in these patients. Materials and Methods. A retrospective review of the medical records and computed tomographic studies of the head in 798 term infants aged 0 to 24 months with suspected or known ICHs was conducted. Results. ICHs were present in 195 of the 798 infants (24%). More than one type of ICH was present in 32%. Subdural hemorrhage was the most frequent type of ICH, occurring in 63% of the infants. Good clinical outcomes were present in 49% of the infants... (More)
Rationale and Objectives. The purposes of this study were to retrospectively identify various etiologies underlying intracranial hemorrhages (ICHs) in term infants aged <2 years and their respective prevalence in this population and to describe the long-term clinical outcomes in these patients. Materials and Methods. A retrospective review of the medical records and computed tomographic studies of the head in 798 term infants aged 0 to 24 months with suspected or known ICHs was conducted. Results. ICHs were present in 195 of the 798 infants (24%). More than one type of ICH was present in 32%. Subdural hemorrhage was the most frequent type of ICH, occurring in 63% of the infants. Good clinical outcomes were present in 49% of the infants but varied depending on the location, etiology, and timing of the ICH. Conclusion. The incidence of various etiologies of ICH depended on the ages of the infants. The overall clinical outcomes were good, with no long-term sequelae in half of the infants presenting with ICHs. In infants aged >4 weeks presenting with ICHs, special attention should be given to the possibility of nonaccidental trauma etiology, because this is common and has worse long-term outcomes. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
infants, CT, intracranial hemorrhage, clinical outcome
in
Academic Radiology
volume
16
issue
5
pages
572 - 577
publisher
Elsevier
external identifiers
  • wos:000265229500010
  • scopus:63549109567
ISSN
1878-4046
DOI
10.1016/j.acra.2009.01.007
language
English
LU publication?
yes
id
8976d794-51cd-4d39-bbda-44199840169b (old id 1400467)
date added to LUP
2009-06-15 14:07:54
date last changed
2017-01-01 05:29:56
@article{8976d794-51cd-4d39-bbda-44199840169b,
  abstract     = {Rationale and Objectives. The purposes of this study were to retrospectively identify various etiologies underlying intracranial hemorrhages (ICHs) in term infants aged &lt;2 years and their respective prevalence in this population and to describe the long-term clinical outcomes in these patients. Materials and Methods. A retrospective review of the medical records and computed tomographic studies of the head in 798 term infants aged 0 to 24 months with suspected or known ICHs was conducted. Results. ICHs were present in 195 of the 798 infants (24%). More than one type of ICH was present in 32%. Subdural hemorrhage was the most frequent type of ICH, occurring in 63% of the infants. Good clinical outcomes were present in 49% of the infants but varied depending on the location, etiology, and timing of the ICH. Conclusion. The incidence of various etiologies of ICH depended on the ages of the infants. The overall clinical outcomes were good, with no long-term sequelae in half of the infants presenting with ICHs. In infants aged &gt;4 weeks presenting with ICHs, special attention should be given to the possibility of nonaccidental trauma etiology, because this is common and has worse long-term outcomes.},
  author       = {Zakhary, Mina M. and Wesolowski, Jeffrey R. and Sewick, Amy E. and Carlson, Martha and Mehrotha, Neha and Maly, Pavel and Sundgren, Pia C.},
  issn         = {1878-4046},
  keyword      = {infants,CT,intracranial hemorrhage,clinical outcome},
  language     = {eng},
  number       = {5},
  pages        = {572--577},
  publisher    = {Elsevier},
  series       = {Academic Radiology},
  title        = {Prevalence and Etiology of Intracranial Hemorrhage in Term Children Under the Age of Two Years: A Retrospective Study of Computerized Tomographic Imaging and Clinical Outcome in 798 Children},
  url          = {http://dx.doi.org/10.1016/j.acra.2009.01.007},
  volume       = {16},
  year         = {2009},
}