Vomiting as an Indicator for CT Brain Following Head Injury in Pediatric Age Group. | ||||
| The Medical Journal of Cairo University | ||||
| Volume 93, Issue 03, March 2025, Page 103-107 PDF (43.77 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/mjcu.2025.422785 | ||||
 View on SCiNiTO | ||||
| Author | ||||
| MAHMOUD R. ADLY ALY, M.D., Ph.D.* and OMYAMA S.M. ABD ELGHANY, M.Sc.** . | ||||
| The Department of Neurosurgery*, Cairo University and Diagnostic Radiology Department**, Beni-Suef University | ||||
| Abstract | ||||
| Background: Vomiting is a frequent occurrence following head injuries. Isolated vomiting was a significant indicator of intracranial injury following a head injury. Following head trauma, CT (computed tomography) is a quick and reliable method for patients with head injuries. Aim of Study: To detect if vomiting is a good predictor of requesting a CT scan. Patients and Methods: This was retrospective research that was conducted on 200 patients with head trauma. These patients presented to the emergency department, at Beni-Suef Universi-ty Teaching Hospital, Egypt. The period of the research was from January 2022 to June 2022. Results: Regarding the demographics the mean age was 7.8±4.2 and the mean BMI was 24.9±4.3. Regarding the preva-lence and onset of vomiting, the majority of patients 140 (70%) had recurrent episodes of vomiting and onset of vomiting the majority of patients 70 (35%) had vomiting within 1h after trau-ma, while 30 patients (15%) had vomiting 1–4h after trauma and in 5 patients (2.5%) had vomiting >4h after trauma. Conclusion: Most patients with single vomiting episodes had normal CT scans 96%. While in recurrent episodes of vom-iting, around a third of the cases experienced positive CT scan findings. Thus, recurrent episodes of vomiting could be utilized as a good predictor of a CT scan following head trauma in pedi-atrics while single episodes of vomiting are considered a poor indicator. | ||||
| Keywords | ||||
| Vomiting; Computed tomography; Head injury; Traumatic brain injuries; Pediatrics | ||||
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