Routine surveillance imaging following mild traumatic brain injury with intracranial hemorrhage may not be necessary

Space: StayCurrentMD Author: Smruti K. Patel, Yair M. Gozal, Bryan M. Krueger, James C. Bayley, Suzanne Moody, Norberto Andaluz, Richard A. Falcone, Karin S. Bierbrauer Published:

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Smruti K. Patel, Yair M. Gozal, Bryan M. Krueger, James C. Bayley, Suzanne Moody, Norberto Andaluz, Richard A. Falcone, Karin S. Bierbrauer

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Abstract

Background

Mild traumatic brain injury (mTBI) comprises the majority of pediatric traumatic brain injury. Children with mTBI even with traumatic intracranial hemorrhage (tICH) rarely experience a clinically significant neurologic decline (CSND). The utility of routine surveillance imaging in the pediatric population also remains controversial, especially owing to concerns about the risks of radiation exposure at a young age. This study aims to identify demographic or injury-related characteristics that may facilitate recognition of children at risk of progression with mTBI.

Methods

We performed a retrospective review of patients

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