Christiaens J L
Anesth Analg (Paris). 1980;37(3-4):177-9.
Among 1,572 cases of children's head injuries, we have noted in 9 p. cent a secundary impairment of the neurological condition. 1) After a lucid interval, an intracranial hematoma (4 p. cent), much more after extradural than subdural, it can suddenly break out. Bradycardia and anemia are very evocative of it. 2) Without a real lucid interval (0.8 p. cent) the diagnosis of cortical contusion with oedema is settled after having eliminated an hematoma. 3) The so called baby's hemiconvulsion-hemiplegia syndrome (4.2 p. cent) is very particular in itself and its favorable evolution. In conclusion, clinical survey goes first. In emergency further investigations take place on account of the clinical findings: skull-X ray, carotid angiography and CT-Scanner.
在1572例儿童头部损伤病例中，我们注意到9%的病例出现了继发性神经功能障碍。1）在清醒期后，会出现颅内血肿（4%），硬膜外血肿比硬膜下血肿更易突然发作。心动过缓和贫血对其有很强的提示作用。2）没有真正的清醒期（0.8%），在排除血肿后可诊断为伴有水肿的皮质挫伤。3）所谓的婴儿偏瘫-偏瘫综合征（4.2%）本身及其良好的转归非常特殊。总之，首先要进行临床检查。在紧急情况下，根据临床发现进行进一步检查：头颅X线、颈动脉血管造影和CT扫描。
