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PLoS One
November 2020
Department of Paediatrics and Child Health, University of Cape Town, Cape Town, South Africa.
Background: Computed tomography (CT) imaging is an indispensable tool in the management of acute paediatric neurological illness providing rapid answers that facilitate timely decisions and interventions that may be lifesaving. While clear guidelines exist for use of CT in trauma to maximise individual benefits against the risk of radiation exposure and the cost to the healthcare system, the same is not the case for medical emergency.
Aims: The study primarily aimed to retrospectively describe indications for non-trauma head CT and the findings at a tertiary paediatric hospital.
Am J Emerg Med
August 2014
St. Luke's University Hospital and Health Network, Department of Emergency, Medicine, Bethlehem, PA.
Background: Falls are a major cause of morbidity in the elderly.
Objectives: We describe the low-acuity elderly fall population and study which historical and clinical features predict traumatic intracranial injuries (ICIs).
Methods: This is a prospective observational study of patients at least 65 years old presenting with fall to a tertiary care facility.
Emerg Med J
November 2002
Department of Accident and Emergency Medicine, University College Hospital, London, UK.
Objectives: The classification of patients with "minor head injury" has relied largely upon the Glasgow Coma Scale (GCS). The GCS however is an insensitive way of defining this heterogeneous subgroup of patients. The aim of the study was to develop an extended GCS 15 category by meta-analysis of previously published case-control studies that have identified symptom risk factors for an abnormal head tomogram.
View Article and Find Full Text PDFClin Nucl Med
May 1998
Department of Radiology, St. Vincent's Hospital and Medical Center of New York, New York 10011, USA.
The purpose of this atlas is to present a review of the literature showing the advantages of SPECT brain perfusion imaging (BPI) in mild or moderate traumatic brain injury (TBI) over other morphologic imaging modalities such as x-ray CT or MRI. The authors also present the technical recommendations for SPECT brain perfusion currently practiced at their center. For the radiopharmaceutical of choice, a comparison between early and delayed images using Tc-99m HMPAO and Tc-99m ECD showed that Tc-99m HMPAO is more stable in the brain with no washout over time.
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