Evaluation of isolated skull fractures in children
Author / Expert
Sommer L. Glasgow, Jack H. Scaife, Christopher E. Clinker, Anastasia M. Kahan, Hsuan-Yu Wan, Annika B. Kay, Davian J. Martinez, Vijay M. Ravindra, Robert A. Swendiman, Katie W. Russell
Topic overview
The Brain Injury Guidelines (BIG) was recently adapted to pediatric patients by developing a pediatric-specific risk stratification algorithm, BIG for Kids (kBIG).(1) Children differ from adults in injury patterns and have a higher prevalence of isolated skull fractures without intracranial hemorrhage (ICH). Given the frequency of this injury pattern, a distinct kBIG 0 category was created. This study aimed to better characterize isolated skull fractures in children. We hypothesized that these fractures carry a low risk of ICH development or neurosurgical intervention.
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