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Journal of Korean Neurosurgical Society 1991;20(6): 414-418.
Diffuse Brain Swelling in Severely Head Injured Patients.
Kwang Soo Rhee, Sung Don Kang, Tae Young Kim, Jong Moon Kim
Departments of Neurosurgery, School of Medicine, Wonkwang University, Iri, Korea.
Diffuse brain swelling(bilateral swelling without shift or other lesions ; DBS) after severe head injuy in children is very common event and that DBS in children is thought to be associated with a low mortality, generally compared with adult. In this study, DBS ws compared in 9 Children and 18 adults, selected among 222 cases of severe head injured patients admitted to the Department of Neurosurgery for 4 years from January 1986 toDecember 1989. The results were summarized as follows ; 1) The incidence of DBS in children(39.1%) was about 4 time as high as for adult(9.0%). 2) There was no significant difference of mortality rate in pediatric and adult group showing DBS but there was a significant low mortality rate in pediatric group without showing DBS, in contrast to other studies.
Key Words: Severe head injury; Diffuse brain swelling; Mortality; Adult; Children
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