Neuroimaging in paediatric emergencies
DOI:
https://doi.org/10.18203/2349-3933.ijam20232553Keywords:
Paediatric emergencies, Paediatric neuroimaging, MRI brainAbstract
Background: Neonatal and Pediatric population comprise up to 20% of emergencies and it is very important to choose appropriate imaging modality to diagnose early and treat accurately. These Pediatric emergencies require different approach to diagnose and manage compared to the adult population. This article will focus on the neuroimaging for evaluation and diagnosis that has more common and specific occurrence in paediatric population.
Methods: Cases were selected based on inclusion and exclusion criteria and a single centre study was done using the scanners, imaging software and medical records from March 2021 to August 2022.
Results: 36 non-traumatic cases were further subgrouped based on the etiological factors; of which 13 cases (36.1%) had findings consistent with congenital abnormalities. The proportion of children with Hypoxic ischemic encephalopathy, Stroke, Infections and Neoplastic were 10 cases (27.7%), 9 cases (25%), 5 cases (13.8%), 4 cases (11.1%) and 4 cases (11.1%) respectively.
Conclusions: Neuroimaging is the key in pediatric emergencies. The advancement in newer modalities of technology should be put into use more as a combined approach in diagnosis, management and prognostication as well as for early intervention to improve functional and psychological outcome.
Metrics
References
Devadas I, Yoganathan S, Jasper A, Sridhar G. Computerized tomography. IJPP. 2021;23(4):321. McCann JWJ, Phelan E. Pediatric Neurological Emergencies. In: Emergency Radiology. Heidelberg: Springer; 2007.
Triulzi F, Doneda C, Parazzini C. Neuroimaging of pediatric brain infections. Expert Rev Anti Infect Ther. 2011;9(6):737-51.
Donahue MJ, Dlamini N, Bhatia A. Neuroimaging advances in pediatric stroke. Stroke. 2020.
Nikam RM, Yue X, Kaur G, Kandula V, Khair A, Kecskemethy HH, et al. Advanced Neuroimaging Approaches to Pediatric Brain Tumors. Cancers. 2022; 14(14):3401.
Bano S, Chaudhary V, Garga UC. Neonatal Hypoxic-ischemic Encephalopathy: A Radiological Review. J Pediatr Neurosci. 2017;12(1):1-6.
Vijay K, Vijayaraghavachari V. MRI evaluation of congenital malformations of brain. J Evid Based Med Healthcare. 2016;3:10.
Thangjam S, Singhania G, Srivastav P, Devi V. Congenital brain anomalies: Neuroimaging findings. J Dr. NTR Univ Health Sci. 2016;3:77.
Suskauer SJ, Huisman TA. Neuroimaging in pediatric traumatic brain injury: current and future predictors of functional outcome. Dev Disabil Res Rev. 2009;15(2): 117-23.
Gentry LR, Godersky JC, Thompson B, Dunn VD. Prospective comparative study of intermediate-field MR and CT in the evaluation of closed head trauma. Am J Neuroradiol. 2008;9(1):91-100.
Lee B, Newberg A. Neuroimaging in traumatic brain imaging. NeuroRx. 2005;2(2):372-83.
Chang PT, Yang E, Swenson DW, Lee EY. Pediatric Emergency Magnetic Resonance Imaging: Current Indications, Techniques, and Clinical Applications. Magn Reson Imaging Clin N Am. 2016;24(2):449-80.
Radiology. Available at: https://radiologykey.com/ imaging-of-pediatric-emergencies/. Accessed on 20 February 2022.