Association between linear skull fractures and intracranial hemorrhage in children with minor head trauma

David B. Erlichman, Einat Blumfield, Swapnil Rajpathak, Amanda Weiss

Research output: Contribution to journalArticle

24 Scopus citations

Abstract

Background: To determine whether skull fractures can be used to associate intracranial hemorrhage with minor head trauma (MHT). Objective: We conducted a retrospective study evaluating the association between linear skull fractures and intracranial hemorrhage among children with MHT. Furthermore, we evaluated the significance of small intracranial hemorrhages by assessing the need for neurosurgical interventions. Materials and methods: The case group included 114 children with a diagnosis of a linear skull fracture and the control group included 125 children without the diagnosis. We conducted multivariable logistic regression analyses to estimate the odds ratio (OR) between linear skull fractures and intracranial bleeding. Results: Among the cases, 29 of 114 (25%) children were diagnosed with an intracranial hemorrhage on CT, compared to only 14 of 125 (11%) among the controls. The multivariable OR for intracranial hemorrhages comparing cases and controls adjusted for age and gender was 2.17 (95% confidence interval [CI]: 1.01, 4.68). All the intracranial hemorrhages were small (3.8 ± 2.3 mm) and none of them required any neurosurgical intervention. Conclusion: The presence of a linear skull fracture is an independent risk factor for intracranial hemorrhage. However, all the intracranial hemorrhages associated with the skull fractures were small and did not require any neurosurgical interventions.

Original languageEnglish (US)
Pages (from-to)1375-1379
Number of pages5
JournalPediatric radiology
Volume40
Issue number8
DOIs
StatePublished - Aug 1 2010

Keywords

  • Children
  • Intracranial injury
  • Minor head trauma
  • Skull film
  • Skull fracture

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Radiology Nuclear Medicine and imaging

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