Accidental and non-accidental head injury in children. Is there a difference in Tomography (CT) presentation?

Introduction: Differentiation between accidental and non-accidental head injury particularly with intracranial haemorrhages in children is a common medical & legal dilemma. Previous studies & research based on surgical, radiological & autopsy data suggest that different types of brain i...

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Main Authors:	Abd. Aziz, Azian, Hassan, Radhiana, Md. Ralib@Md. Raghib, Ahmad Razali, Sa'at@Yusof, Azlin, Abdul Rashid, Mohd Amran, Che Mohamed, Siti Kamariah
Format:	Conference or Workshop Item
Language:	English
Published:	2011
Subjects:	RJ101 Child Health. Child health services
Online Access:	http://irep.iium.edu.my/5192/ http://irep.iium.edu.my/5192/ http://irep.iium.edu.my/5192/1/Poster_ID_501_IRIIE_2011_Dr._Azian_Abd_Aziz.pdf

id	iium-5192
recordtype	eprints
spelling	iium-51922013-04-26T08:39:56Z http://irep.iium.edu.my/5192/ Accidental and non-accidental head injury in children. Is there a difference in Tomography (CT) presentation? Abd. Aziz, Azian Hassan, Radhiana Md. Ralib@Md. Raghib, Ahmad Razali Sa'at@Yusof, Azlin Abdul Rashid, Mohd Amran Che Mohamed, Siti Kamariah RJ101 Child Health. Child health services Introduction: Differentiation between accidental and non-accidental head injury particularly with intracranial haemorrhages in children is a common medical & legal dilemma. Previous studies & research based on surgical, radiological & autopsy data suggest that different types of brain injuries tend to occur with accidental versus non-accidental trauma. Published data showed that CT brain findings of subdural bleed are more frequently encountered with nonaccidental causes of head injury. Objective: To see if there is any significant difference in the types of intracranial hemorrhages seen on computed tomography (CT) brain between accidental and nonaccidental head injury in children admitted to Hospital Tengku Ampuan Afzan (HTAA), Kuantan, Pahang. Methodology: All CT brain of children (newborn to 18 yrs of age)admitted to HTAA from September 2009 until September 2010 which demonstrated intracranial bleed,traced from the CT scan registration book and from the PACS/RIS systems (Picture Archiving and Communication System / Radiology Information System)were included in this study. Patient’s clinical notes were traced from HTAA’s Record Office. The causes of non-accidental and accidental head injury were determined. All the CT images were interpreted independently by 2 radiologists who were blinded to the indication of the CT examination. Statistical analysis were done using SPSS version 12. Conclusion: Although limited by a small number of patients with non-accidental injury, our data showed that CT brain findings of subdural haemorrhage has a statistically significant association with non-accidental injury. This is similar with other published data in the literature. 2011 Conference or Workshop Item NonPeerReviewed application/pdf en http://irep.iium.edu.my/5192/1/Poster_ID_501_IRIIE_2011_Dr._Azian_Abd_Aziz.pdf Abd. Aziz, Azian and Hassan, Radhiana and Md. Ralib@Md. Raghib, Ahmad Razali and Sa'at@Yusof, Azlin and Abdul Rashid, Mohd Amran and Che Mohamed, Siti Kamariah (2011) Accidental and non-accidental head injury in children. Is there a difference in Tomography (CT) presentation? In: IIUM Research, Invention and Innovation Exhibition 2011, 9-10 February 2011, IIUM Gombak. (Unpublished) http://www.iium.edu.my/irie/11/
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	RJ101 Child Health. Child health services
spellingShingle	RJ101 Child Health. Child health services Abd. Aziz, Azian Hassan, Radhiana Md. Ralib@Md. Raghib, Ahmad Razali Sa'at@Yusof, Azlin Abdul Rashid, Mohd Amran Che Mohamed, Siti Kamariah Accidental and non-accidental head injury in children. Is there a difference in Tomography (CT) presentation?
description	Introduction: Differentiation between accidental and non-accidental head injury particularly with intracranial haemorrhages in children is a common medical & legal dilemma. Previous studies & research based on surgical, radiological & autopsy data suggest that different types of brain injuries tend to occur with accidental versus non-accidental trauma. Published data showed that CT brain findings of subdural bleed are more frequently encountered with nonaccidental causes of head injury. Objective: To see if there is any significant difference in the types of intracranial hemorrhages seen on computed tomography (CT) brain between accidental and nonaccidental head injury in children admitted to Hospital Tengku Ampuan Afzan (HTAA), Kuantan, Pahang. Methodology: All CT brain of children (newborn to 18 yrs of age)admitted to HTAA from September 2009 until September 2010 which demonstrated intracranial bleed,traced from the CT scan registration book and from the PACS/RIS systems (Picture Archiving and Communication System / Radiology Information System)were included in this study. Patient’s clinical notes were traced from HTAA’s Record Office. The causes of non-accidental and accidental head injury were determined. All the CT images were interpreted independently by 2 radiologists who were blinded to the indication of the CT examination. Statistical analysis were done using SPSS version 12. Conclusion: Although limited by a small number of patients with non-accidental injury, our data showed that CT brain findings of subdural haemorrhage has a statistically significant association with non-accidental injury. This is similar with other published data in the literature.
format	Conference or Workshop Item
author	Abd. Aziz, Azian Hassan, Radhiana Md. Ralib@Md. Raghib, Ahmad Razali Sa'at@Yusof, Azlin Abdul Rashid, Mohd Amran Che Mohamed, Siti Kamariah
author_facet	Abd. Aziz, Azian Hassan, Radhiana Md. Ralib@Md. Raghib, Ahmad Razali Sa'at@Yusof, Azlin Abdul Rashid, Mohd Amran Che Mohamed, Siti Kamariah
author_sort	Abd. Aziz, Azian
title	Accidental and non-accidental head injury in children. Is there a difference in Tomography (CT) presentation?
title_short	Accidental and non-accidental head injury in children. Is there a difference in Tomography (CT) presentation?
title_full	Accidental and non-accidental head injury in children. Is there a difference in Tomography (CT) presentation?
title_fullStr	Accidental and non-accidental head injury in children. Is there a difference in Tomography (CT) presentation?
title_full_unstemmed	Accidental and non-accidental head injury in children. Is there a difference in Tomography (CT) presentation?
title_sort	accidental and non-accidental head injury in children. is there a difference in tomography (ct) presentation?
publishDate	2011
url	http://irep.iium.edu.my/5192/ http://irep.iium.edu.my/5192/ http://irep.iium.edu.my/5192/1/Poster_ID_501_IRIIE_2011_Dr._Azian_Abd_Aziz.pdf
first_indexed	2023-09-18T20:13:40Z
last_indexed	2023-09-18T20:13:40Z
_version_	1777407644634447872

Accidental and non-accidental head injury in children. Is there a difference in Tomography (CT) presentation?

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