6歳未満で交通事故による脳外傷を受傷した25例の検討

  • 栗原 まな
    神奈川県総合リハビリテーションセンター 小児科

書誌事項

タイトル別名
  • Clinical investigation of 25 children with traumatic brain injury by traffic accident who injured under 6 years of age
  • 6サイ ミマン デ コウツウ ジコ ニ ヨル ノウ ガイショウ オ ジュショウ シタ 25レイ ノ ケントウ

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抄録

<p>Objective: Traumatic brain injury (TBI) by traffic accident in young children is not so often reported. Those patients were examined to clarify the status for further medical care.</p><p>Methods: Twenty five patients with TBI by traffic accident in recent 20 years whose age was under 6 years at injury were examined. We retrospectively investigated age at injury and present, causes, treat­ments during acute stage, outcome (physical disability, intellectual disability, higher brain dys­function, epilepsy) and representative rehabilitation. We com­pared the degree of disability at infancy and at school age.</p><p>Results: The average age was 3 years 7 months at onset and 12 years 1 month at present. Accidents during walking were in 16 patients (64%), in the car were in 9 patients (36%). Glasgow coma scale under 8 in 18 patients (72%) was prominent. Types of brain damage were diffuse brain injury in 10 patients (40%), subduralhematoma in 8 patients (32%), contusion in 6 cases (24%), etc. Treatments at acute stage were coservative in 12 patients (48%), hematoma evacuation in 7 patients (14%), hypo­thermia in 6 patients (12%), etc. Outcome was physical disability in 10 patients (40%), intellectual disability in 20 patients (80%), higher brain dysfunction in 20 patients (80%), and epilepsy in 6 patients (24%). The degree of disability evaluated at school age was worse compared to that at infancy in 6 of 20 patients. The characteristics of those patients were as follows; no physical disability, no or mild intellectual disability, and higher brain dysfunction which became prominent after school age. Rehabilitation for memory disturbance and atten­tion disturbance was presented.</p><p>Conclusion: The degree of disability should be evaluated after school attendance, especially with patients whose physical and intellectual disability was mild, and higher brain dysfunction was prominent.</p>

収録刊行物

  • 神経外傷

    神経外傷 40 (2), 85-91, 2017-12-20

    一般社団法人 日本脳神経外傷学会

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