Children 29 cases of post-traumatic cerebral infarction.docVIP

 PAGE \* MERGEFORMAT 5 Children 29 cases of post-traumatic cerebral infarction Of: Feng Ling, Tang Xiaoping, Tang Wenguo, paint building, Luo Renguo [Abstract] summarized 29 cases of cerebral infarction in children after trauma clinical manifestations, imaging examinations and treatment outcome of its pathogenesis, diagnosis and treatment made #8203;#8203;to improve the diagnosis and treatment. [Keywords:] brain injury; infarction; children Post-traumatic cerebral infarction in children is relatively rare in clinical practice, are admitted to our department in recent years, 29 cases of children reported as post-traumatic cerebral infarction. Clinical data 1 General information 18 males, 11 females; aged 4 months to 12 years with an average of 8.3 years. The causes of injury: 18 cases of road traffic injury, fall injury in 8 cases, falls in 3 cases. Clinical manifestations: a primary coma 5 cases, no primary coma in 24 cases, 8 cases of secondary coma. all the time in a coma a few minutes to 5 hours. All the children (children awake after coma) associated with different degrees of expression were fatigue, reduced activity, vomiting and other performance; accompanied by the side of the 27 cases of hemiplegia, seizures in 2 cases, GCS score of 7 to 12 minutes. 2 Diagnosis and treatment of all cases were 1 to 26 hours after injury by head CT scan diagnosis. Review line MRI scan in 2 cases. The results show: the side of the circular low density in basal ganglia lesions in 23 cases, their clear boundary, the diameter is 0.5 ~ 1.5cm, which left 13 cases, 10 cases of right; associated with regional cerebral contusion in 6 cases, the amount of which is located in the rear side of the 4 cases, in 2 cases of deep parietooccipital; CT and MRI lesions were prompted no significant mass effect. this group of drugs to dehydration, calcium antagonists and vasodilators mainly of conservative treatment. dehydration drug use 20% mannitol at 1g / kg basis, 1 or