Abstract:

Purpose: We have studied the causes and consequences of middle and severe head trauma in children under 3 years of age. Method: In this retrospective study between June 2001 and December 2008 157 children (105 men: 52 girls) were examined who were hospitalized by applying to emergency service with middle and severe head trauma. The patient’s age, gender, cause of trauma, clinical findings and symptoms, duration of hospital stay, radiological findings, surgery, additional injuries, post- and late complications and mortality were studied. The average age was 21.5 months. The most common result of the application was conscious disorder. The most common cause in average severity is falling from 1-2 m (7-12 months), a motor vehicle accident in severe head trauma (19-24 months). The most common radiological findings were linear fractures. In the middle head trauma, 16 epidural hematomas (EDH), 4 subdural hematomas (SDH), two stable brain laseration, and two depression fractures required surgery. In severe head trauma, 6 SDH and 5 EDH surgery were required. Certain major post-complications were meninjitis, rinorrhea, epileptic stroke, and subdural liquid collection. The total mortality rate is 3.18% (5/157 patients). The result: in our series, the most common cause of middle and heavy head trauma was 0-3 years old as falling from 1-2 m height. The child should be warned to be closely monitored by the parents and caregivers during the retirement and ranking period. In addition, careers who have contradictory expressions in repeated traumatic children of 0-3 years of age should be carefully investigated in terms of child suistimal.

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