Özet:

Purpose: A type of parankimal traumatic injury, diffuse axonal injury (DAH), can cause severe neurocognitive disorders in the acute and chronic period in children who suffer from head trauma. This study aims to determine which of the clinical and radiological findings are associated with severe damage. Tools and Methods: Our study examined the data of thirty-nine patients who were monitored in the child intensive care unit after a severe head trauma between 2012-2017 years. Patients with pre-diagnosis and magnetic resonance imaging (MRG) have reached the age of application, the Glasgow Koma Scale (GKS), the Pediatric Risk of Mortality (PRISM) score, the Glasgow Outcome Scale (GOS), vital findings, laboratory findings, hospitalization periods. Compatible with DAH damage burden, the anatomical settings of these damage in the brain are also noted. The DAH (+) group was compared to the unidentified group, and it was also studied which parameters had a significant impact on GOS. Results and Debate: In 29 patients, MRG is identified in accordance with DAH, while in the remaining 10 patients, MRG is not identified in the brain. In comparison of these two groups, PRISM, GOS and GKS scores and hospitalization periods were different. The patient group DAH (+) has a significant correlation with GKS and PRISM scores, as well as the hospital stay period. In patients, there was no meaningful relationship between the total load of the injury and GKS or GOS. Patients with Talamus and brain liver injury have a significant decline in GKS compared to other patients, while such a relationship with GOS has not been shown. The results of our study show that diffuse axonal damage causes a more serious neurocognitive disorder than mild head trauma, requiring long hospital stay and rehabilitation. However, a broad cohort study is needed, which includes both clinical and radiological findings on the prognosis and determining factors for permanent damage.

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