An entity called "spate hemorrhage" is reported in the neurosurgical
literature on pediatric head trauma. It refers to CT signs of small
contusions in areas of the brain which were normal on a previous CT scan.
Usually the repeat CT is obtained because the child deteriorates.
> -----Original Message-----
> From: Pediatric Emergency Medicine Discussion List
> [mailto:[log in to unmask]]On Behalf Of jay pershad
> Sent: Friday, August 20, 1999 1:52 AM
> To: Multiple recipients of list PED-EM-L
> Subject: Re: Timimg of CT scan of the head in children with minor
> Dont remember the exact citation off hand, but "delayed" bleeds can occur.
> The reports of this occurring have been in kids with coagulapathy
> (hemophilia) and some kids with intracranial hardware(VP shunt), who
> sustained BHT. It has not been described to my knowledge in previously
> healthy children. Both situations occurred within the first 48 hours.
> Jay Pershad, MD
> "PEM -pal"
> > Anyone have any data on how often someone with an initially
> negative scan
> subsequently needed a
> > neurosurgical intervention?
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