Low-velocity penetrating craniocerebral injury in childhood.
Fifty-four children with low-velocity penetrating injury of the skull and brain are described. The incidence of septic complications was 43%, which is significantly higher than that seen in adults. Nine percent of children developed vascular complications. Due to the high septic complication rate, a more aggressive management protocol consisting of craniectomy and dural repair under antibiotic cover is suggested.
Domingo
Z
Z
Department of Paediatric Neurosurgery, Red Cross War Memorial Children's Hospital, Cape Town, South Africa.
Peter
J C
JC
de Villiers
J C
JC
D000293:Adolescent; D017541:Aneurysm, False / Q000209:etiology; D001164:Arteriovenous Fistula / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D001922:Brain Abscess / Q000209:etiology; D001930:Brain Injuries / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D002339:Carotid Arteries / Q000503:physiopathology; D002404:Catheterization; D002533:Cerebral Angiography; D002648:Child; D002675:Child, Preschool; D005260:Female; D015600:Glasgow Coma Scale; D006406:Hematoma / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology; D006801:Humans; D007223:Infant; D008297:Male; D008581:Meningitis / Q000209:etiology; D018805:Sepsis / Q000150:complications / Q000382:microbiology; D013211:Staphylococcus aureus / Q000302:isolation & purification; D014057:Tomography, X-Ray Computed