Pediatric Neurosurgery
Original Paper
Pediatric Blunt Carotid Injury: A Review of the National Pediatric Trauma RegistryLew S.M. · Frumiento C. · Wald S.L.Division of Neurosurgery, University of Vermont, Burlington, Vt., USA
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Article / Publication Details
Published online: August 13, 1999
Issue release date: May 1999
Number of Print Pages: 6
Number of Figures: 0
Number of Tables: 2
ISSN: 1016-2291 (Print)
eISSN: 1423-0305 (Online)
For additional information: https://www.karger.com/PNE
Abstract
Blunt carotid injury (BCI) is an uncommon yet potentially devastating entity which has received little attention in the pediatric literature. In an attempt to better characterize pediatric BCI, a review of the National Pediatric Trauma Registry was performed. Records were obtained from all children diagnosed with internal or common carotid injury associated with blunt trauma. The incidence of BCI was 0.03% (15 of 57,659 blunt trauma patients). Variables examined included: age, gender, mechanism of injury, associated injuries, various injury severity scores, and outcome. Various injuries were associated with an increase in BCI incidence including chest trauma (4-fold), combined head and chest trauma (6-fold), basilar skull fractures (4-fold), intracranial hemorrhage (6-fold), and clavicle fractures (8-fold). Thirty-three percent of the patients diagnosed with BCI suffered neurological complications directly attributable to their carotid injuries. Current practices regarding screening, diagnosis, and treatment are reviewed.
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Article / Publication Details
Published online: August 13, 1999
Issue release date: May 1999
Number of Print Pages: 6
Number of Figures: 0
Number of Tables: 2
ISSN: 1016-2291 (Print)
eISSN: 1423-0305 (Online)
For additional information: https://www.karger.com/PNE
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