Peculiar Pathological Conditions in Pediatric Head Trauma

Abstract

Head trauma among children is a common presentation encountered on a daily basis, although most of which are mild and do not require neurosurgical management. However, it is necessary to understand the pathological characteristics of head trauma peculiar to children. Radiation exposure to children should be avoided as much as possible because children have higher radiation sensitivity than adults. Three clinical decision rules derived from multicenter studies were used to identify the risk for intracranial injuries and to minimize the use of computed tomography （ CT ） scans. Pediatric ‒ specific pathology such as extracranial hematoma, accessory suture, benign enlargement of the subarachnoid spaces, abusive head trauma, and bone resorption after decompressive craniotomy are also outlined. Since medico ‒ social opinions are required as an expert of the brain, accurate diagnosis and appropriate treatment to children with up ‒ to ‒ date knowledge is essential.