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Medicolegal study on pediatric traumatic brain injury cases admitted to KasrAlainy hospital during 2017 : A prospective study /

Samar Ramadan Mohammad Abdelghani

Medicolegal study on pediatric traumatic brain injury cases admitted to KasrAlainy hospital during 2017 : A prospective study / الوجهة الطبية الشرعية لدراسة حالات المخ الإصابية فى الأطفال المحجوزين بمستشفى قصر العيني لعام ٢٠١٧: دراسة مستقبلية Samar Ramadan Mohammad Abdelghani ; Supervised Hala Saied Zaghloul , Heba Gamal Kotb , Ehab Abdelhaleem Abdelsalam - Cairo : Samar Ramadan Mohammad Abdelghani , 2018 - 103 P. : charts , facsimiles ; 25cm

Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Forensic Medicine and Clinical Toxicology

Background: Traumatic brain injury (TBI) is prevalent in both low- and high-income countries and affects people of all ages. When compared to adults, children are special risk group for TBI; that is attributed to progressive anatomical development and theirlife style characteristics. Subjects & Methods: 153 pediatric patients were included, all presented to kasr Al-Ainy hospitals with TBI during the period from June 2017 to December 2017. Cases were analyzed regarding (demographic data, manner, circumstances and pattern of injury, and outcome upon discharge). Results:Newborns & toddlers (28.8%) and early childhood (20.3%) were the most vulnerable groups. Males (69.3%) outnumbered females (30.7%) with aM/F of (2.26:1).Fall from heightwas the most common cause of TBI (45.8%), followed by road traffic accidents (RTA) (29.4%). Skull fractures were the most common injury pattern (66%). Most of linear fractureswere caused by fall from height (55.3%), while hit by object caused most of depressed ones(37.7%).Extra dural hematoma (EDH) was the most common intracranial injury (45.5%), together with subdural hematoma (SDH), were mostly caused by fall from height, while RTA caused the majority of cerebral contusions (45%) and subarachnoid hemorrhage (SAH) (50%).Mortality rate was (5.2%) among the studied cases



Intracranial hemorrhage Pediatric TBI Skull fracture