Crush Injuries to the Head in Children

摘要: Although the majority of head injuries in children and adults involve dynamic loading conditions, some patients suffer static loading. Static occurs when forces are applied slowly to head, it produces a much different pattern injuries. Crush usually described context industrial accidents, but our experience, these not rare children. We report series seven crush young admitted during period 29 months describe experience evaluation treatment this complex entity. Patient ages ranged from 15 6 years. In four cases, child's was run over by motor vehicle backing up driveway or parking lot. three other patients, occurred child climbed pulled on heavy object, which then fell with landed head. One cervicomedullary disruption died shortly after his arrival at hospital. The others showed varying degrees soft tissue injury face scalp, Glasgow Coma Scale scores ranging 7 15. Computed tomograms magnetic resonance images multiple often extensive comminuted calvarial fractures, as well subarachnoid parenchymal hemorrhages. All had basilar cranial fractures. There one cervical spine no major vascular pituitary transection, nerve palsies, another developed delayed cerebrospinal fluid rhinorrhea 18 injury. made good cognitive recoveries, having relatively mild fixed focal deficits.(ABSTRACT TRUNCATED AT 250 WORDS)