Particularities оf Diagnostics аnd Treatment оf the Combined Cranial - Cerebral Traumas in Children

Margar Martirosyan, Nikolay Dallakyan, Mamikon Egunjan

Yerevan Pediatric Emergency Clinical Hospital, Armenia

The case histories of 197 children with severe combined cranial-cerebral traumas (CCCT) were analyzed. The findings suggest that the choice of the adequate diagnostic-curative tactics in children with severe CCCT is linked to various conditions: complexity in reassuring the clinical-neurological diagnosis due to the presence of the extra cranial injuries; necessity for emergency interventions on correction of the respiratory and hemodynamic disturbances, as well as intracranial injury complications; limited opportunities to conduct a set of special neurosurgery interventions, absence of CT in many health facilities; oftentimes flow of the patients to the non-specialized facilities. Thus, the knowledge in peculiarities of CCCT in children inevitably makes in tense diagnostics, effectiveness of the treatment, early rehabilitation and the follow up, decrease in the prevalence rate of invalidity and unfavorable cases, much more approachable.

Keywords:  combined cranial-cerebral traumas, traumatic shock, intracranial hematomas, extracerebral injuries