[CT findings and prognoses of anoxic brain damage due to near-drowning in children].
We investigated the relationship between serial cranial CT findings and prognoses in 11 children after near-drowning. These patients were rescued after heart arrest for more than 10 minutes and all comatose on admission. CT scans were performed within 2 weeks, at 3 weeks-1 month, 2-4 months and more than 5 months after admission. Characteristics of CT findings and prognoses were classified into four groups. Group 1: low density areas in thalami, basal ganglia and cortical white matters within 2 weeks (three cases; one died, two became vegetative). Group 2: enlargement of the third ventricle at 3 weeks-1 month, and atrophy of pons at 2-4 months (three cases; severe quadriplegia and mental retardation). Group 3: enlargement of the third ventricle at 3 weeks-1 month, but atrophy of pons not observed at 2-4 months (three cases; mild motor disabilities and mild mental retardation). Group 4: enlargement of third ventricle not observed at 3 weeks-1 month (two cases; neither paralysis nor mental retardation).
Asano
J
J
Division of Child Neurology, Tottori University School of Medicine, Yonago.
Ieshima
A
A
Kisa
T
T
Ohtani
K
K
D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D002534:Hypoxia, Brain / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000209:etiology*; D007223:Infant; D008297:Male; D015701:Near Drowning / Q000150:complications* / Q000453:epidemiology; D011379:Prognosis; D014057:Tomography, X-Ray Computed