Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery
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The decision to order head CT scans to rule out clinically significant traumatic brain injury in mild head injury in children is made on the basis of clinical decision rules of which the Paediatric Emergency Care Applied Research Network (PECARN) CT head rules have been found to be most sensitive. ⋯ The number of head CT scans ordered reduced without missing any clinically significant traumatic brain injury.
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Observational Study
Presentation and symptom interval in children with central nervous system tumors. A single-center experience.
The aim of this study is to describe the symptoms and signs of central nervous system (CNS) tumors in a pediatric population and to assess the time interval between the onset of the disease and the time of the diagnosis. ⋯ Headache and vomiting are the earliest and commonest symptoms in children with brain tumors. Visual symptoms and signs and behavioral change are often present. Abnormalities in neurological examination are reported in most of the children. Intracranial hypertension symptoms suggest the need for a neurological clinical examination and an ophthalmological assessment.