Outcome of Severe Traumatic Head Injury in Children


  • Mumtaz Ali Narejo Department of Neurosurgery, Pir Abdul Qadir Shah Jeelani Institute of Medical Sciences
  • Lal Rehman Department of Neurosurgery, Neurosurgery, Jinnah Postgraduate Medical Centre, Karachi
  • Farrukh Javeed
  • Ali Akbar
  • Muhammad Munwar Ali
  • Khair-un-Nisa Shaikh




Objective:  To determine the frequency of outcome of severe head injury in children.

Material and Methods:  This study was a descriptive case series carried out in the neurosurgery department from 05-01-2018 to 04-07-2018. The study includes 89 child age group patients with severe head trauma within the last 8 hours. CT scan non-contrast done in all patients. Designed Performa was filled. Required surgical intervention was done after completing pre-operative care if indicated. CT scan was done after performing the surgical intervention. Glasgow outcome scale was calculated at 2 months to follow up.

Results:  11.27 ± 4.38 years was the average age. It includes 70 (78.65%) males and 19 (21.35%) females. 18 (20.22%) was the frequency of mortality, those who survived were 36 (40.45%) with a good outcome, moderately disabled 19 (21.35%), severely disabled were 7 (7.87%), and vegetative was 9 (10.11%). The relationship of outcome with gender and age was found insignificant (p-value > 0.05) while with a mode of injury it was significant (p-value < 0.05).

Conclusion:  Low mortality in children with a severe head injury was reported in this study. The commonest mode of injury was a road traffic accident. The clinical criteria for admission, findings on CT scans, and standardized neurological examination may yield data that can be used to predict outcomes accurately in children.

Keywords:  Traumatic head injury, Road traffic accident, Outcome, GCS, Children.


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