Prevalence and Etiology of Intracranial Hemorrhage in Term Children Under the Age of Two Years: A Retrospective Study of Computerized Tomographic Imaging and Clinical Outcome in 798 Children

Mina M. Zakhary, Jeffrey R. Wesolowski, Amy E. Sewick, Martha Carlson, Neha Mehrotha, Pavel Maly, Pia C. Sundgren

Research output: Contribution to journalArticlepeer-review

9 Citations (SciVal)

Abstract

Rationale and Objectives. The purposes of this study were to retrospectively identify various etiologies underlying intracranial hemorrhages (ICHs) in term infants aged <2 years and their respective prevalence in this population and to describe the long-term clinical outcomes in these patients. Materials and Methods. A retrospective review of the medical records and computed tomographic studies of the head in 798 term infants aged 0 to 24 months with suspected or known ICHs was conducted. Results. ICHs were present in 195 of the 798 infants (24%). More than one type of ICH was present in 32%. Subdural hemorrhage was the most frequent type of ICH, occurring in 63% of the infants. Good clinical outcomes were present in 49% of the infants but varied depending on the location, etiology, and timing of the ICH. Conclusion. The incidence of various etiologies of ICH depended on the ages of the infants. The overall clinical outcomes were good, with no long-term sequelae in half of the infants presenting with ICHs. In infants aged >4 weeks presenting with ICHs, special attention should be given to the possibility of nonaccidental trauma etiology, because this is common and has worse long-term outcomes.
Original languageEnglish
Pages (from-to)572-577
JournalAcademic Radiology
Volume16
Issue number5
DOIs
Publication statusPublished - 2009

Subject classification (UKÄ)

  • Radiology, Nuclear Medicine and Medical Imaging

Keywords

  • infants
  • CT
  • intracranial hemorrhage
  • clinical outcome

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