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Emergency Imaging

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Imaging for Pediatricians

Part of the book series: Imaging for Clinicians ((IMAGCLIN,volume 1))

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Abstract

A 10-year-old patient with a headache for a week, without any other signs or symptoms.

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Further Reading

Case 1: Acute Cerebellitis

  • Book

    Google Scholar 

  • Osborn AG (2004) Diagnostic imaging: brain. Amirsys, Salt Lake City, pp I-8–I-49

    Google Scholar 

  • Web Link

    Google Scholar 

  • http://sumerdoc.blogspot.com/2010/11/acute-cerebellitis-mri.html

  • Articles

    Google Scholar 

  • Bruecker Y, Claus F, Demaerel P, Ballaux F, Sciot R, Lagae L (2004) MRI findings in acute cerebellitis. Eur Radiol 14:1478–1483

    PubMed  Google Scholar 

  • Brunberg JA (2008) Ataxia. AJNR Am J Neuroradiol 29:1420–1422

    PubMed  CAS  Google Scholar 

  • Cijhlich-Ratmann C, Wallot M, Baethmann M, Scharper J, Roggendorf M, Roll C (1998) Acute cerebellitis with near-fatal cerebellar swelling and benign outcome under conservative treatment with high dose steroids. Eur J Paediatr Neurol 2:157–162

    Google Scholar 

  • Hayakawa H, Katoh T (1995) Severe cerebellar atrophy following acute cerebellitis. Pediatr Neurol 12:159–161

    PubMed  CAS  Google Scholar 

  • Kamate M, Chetal V, Hattiholi V (2009) Fulminant cerebellitis: a fatal, clinically isolated syndrome. Pediatr Neurol 41:220–222

    PubMed  Google Scholar 

  • Komatsu H, Kuroki S, Shimizu Y, Takada H, Takeuchi Y (1998) Mycoplasma pneumoniae meningoencephalitis and cerebellitis with antiganglioside antibodies. Pediatr Neurol 18:160–164

    PubMed  CAS  Google Scholar 

  • Martínez-León M, Díaz-Martí T, Ros B, López-Ruiz P (2005) Pediatric hemicerebellitis: a case report. Radiologia 47(5):283–286

    Google Scholar 

  • Montenegro MA, Santos S, Li LM, Cendes F (2002) Neuroimaging of acute cerebellitis. J Neuroimaging 12:72–74

    PubMed  Google Scholar 

  • Shkalim V, Amir J, Kornreich L, Scheuerman O, Straussberg R (2009) Acute cerebellitis presenting as tonsillar herniation and hydrocephalus. Pediatr Neurol 41:200–203

    PubMed  Google Scholar 

  • Xu F, Ren SQ, Liu JY (2008) Acute cerebellitis in identical twins. Pediatr Neurol 39:432–434

    PubMed  Google Scholar 

Case 2: Traumatic Head Injury

  • Book

    Google Scholar 

  • Latchaw R, Kucharczyk J, Mosely M (eds) (2004) Imaging of the nervous system: diagnostic and therapeutic applications. Mosby, St. Louis

    Google Scholar 

  • Web Link

    Google Scholar 

  • Stock A (2011) Pediatric head trauma. Medscape reference. http://emedicine.medscape.com/article/1137207-overview. Updated: 1 Nov 2011

  • Articles

    Google Scholar 

  • Bernardi B, Zimmerman RA, Bilaniuk LT (1993) Neuroradiologic evaluation of pediatric craniocerebral trauma. Top Magn Reson Imaging 5(3):161–173

    PubMed  CAS  Google Scholar 

  • Cakmakci H (2009) Essentials of trauma: head and spine. Pediatr Radiol 39:S391–S405

    Google Scholar 

  • Hymel KP, Hall CA (2005) Diagnosing pediatric head trauma. Pediatr Ann 34:358–370

    PubMed  Google Scholar 

  • Parkin PC, Maguire JL (2009) Clinically important head injuries after head trauma in children. Lancet 374:1127–1129

    PubMed  Google Scholar 

  • Poussaint TY, Moeller KK (2002) Imaging of pediatric head trauma. Neuroimaging Clin N Am 12:271–294

    PubMed  Google Scholar 

  • Savitsky EA, Votey SR (2000) Current controversies in the management of minor pediatric head injuries. Am J Emerg Med 18:96–101

    PubMed  CAS  Google Scholar 

  • Simon B, Letorneau P, Vitorino E, McCall J (2001) Pediatric minor head trauma: indications for computed tomographic scanning revisited. J Trauma 51:231–238

    PubMed  CAS  Google Scholar 

  • Tang PH, Lim CC (2009) Imaging of accidental paediatric head trauma. Pediatr Radiol 39:438–446

    PubMed  Google Scholar 

  • Tung GA, Kumar M, Richardson RC, Jenny C, Brown WD (2006) Comparison of accidental and non accidental traumatic head injury in children on non contrast computed tomography. Pediatrics 118:626–633

    PubMed  Google Scholar 

  • Woodcock RJ, Davis PC, Hopkins KL (2001) Imaging of head trauma in infancy and childhood. Semin Ultrasound CT MR 22:162–182

    PubMed  CAS  Google Scholar 

Case 3: Pediatric Ischemic Stroke

  • Book

    Google Scholar 

  • Ganesan V, Chong K et al (2004) Stroke in childhood. Clinical guidelines for the diagnosis, management and rehabilitation. Paediatric Stroke Working Group, Royal College of Physicians. IBSN 1 86016 236 3

    Google Scholar 

  • Web Link

    Google Scholar 

  • http://www.stroke.org/site/PageServer?pagename=PEDSTROKE

  • Articles

    Google Scholar 

  • Danchaivijitr N, Cox TC, Saunders DE, Ganesan V (2006) Evolution of cerebral arteriopathies in childhood arterial ischemic stroke. Ann Neurol 59:620–626

    PubMed  Google Scholar 

  • Ganesan V, Savvy L, Chong WK, Kirkham FJ (1999) Conventional cerebral angiography in children with ischaemic stroke. Pediatr Neurol 20:38–42

    PubMed  CAS  Google Scholar 

  • Ganesan V, Prengler M, Mc Shane M, Wade A, Kirkham FJ, Chri B (2003) Investigation of risk factors in children with arterial ischaemic stroke. Ann Neurol 53:167–173

    PubMed  Google Scholar 

  • Lanni G, Catalucci A, Conti L, Di Sibio A, Paonessa A, Gallucci M (2011) Pediatric stroke: clinical findings and radiological approach. Stroke Res Treat 2011:172168, Epub 2011 Apr 19

    PubMed  Google Scholar 

  • Mackay MT, Wiznitzer M, Benedict SL, Lee KJ, Deveber GA, Ganesan V, International Pediatric Stroke Study Group (2011) Arterial ischemic stroke risk factors: the International Pediatric Stroke Study. Ann Neurol 69:130–140

    PubMed  Google Scholar 

  • Martínez-Martínez M, Cazorla-García R, Rodríguez de Antonio LA, Martínez-Sánchez P, Fuentes B, Diez-Tejedor E (2010) Estados de hipercoagulabilidad e ictus isquémico en pacientes jóvenes. Neurologia 25:343–348

    PubMed  Google Scholar 

  • Roach ES, DeVeber GA, Kirkham FJ (2000) Knowledge of consequences: understanding stroke in children. J Child Neurol 15:277–278

    Google Scholar 

  • Sébire G, Fullerton H, Riou E, DeVeber G (2004) Toward the definition of cerebral arteriopathies of childhood. Curr Opin Pediatr 16:617–622

    PubMed  Google Scholar 

  • Sträter R, Becker S, von Eckardstein A, Heinecke A, Gutsche S, Junker R et al (2002) Prospective assessment of risk factors for recurrent stroke during childhood – a 5-year follow-up study. Lancet 360:1540–1545

    PubMed  Google Scholar 

  • Trenor CC 3rd, Michelson AD (2010) Thrombophilia and pediatric stroke. Circulation 121:1795–1797

    PubMed  Google Scholar 

Case 4: Non-neonatal Hypoxic-Ischemic Encephalopathy (HIE)

  • Book

    Google Scholar 

  • Barkovich AJ (2000) Brain pediatric neuroimaging, 4th edn. Lippincott-Raven, Philadelphia

    Google Scholar 

  • Web Link

    Google Scholar 

  • http://radiopaedia.org/articles/hypoxic-ischaemic-injury-in-older-children-and-adults

  • Articles

    Google Scholar 

  • Arbelaez A, Castillo M, Mukherji S (1999) Diffusion weighted MR imaging of global cerebral anoxia. AJNR Am J Neuroradiol 20:999–1007

    PubMed  CAS  Google Scholar 

  • Barkovich AJ (1992) MR and CT evaluation of profound neonatal and infantile asphyxia. AJNR Am J Neuroradiol 13:959–972

    PubMed  CAS  Google Scholar 

  • Beltz EE, Mullins ME (2010) Radiological reasoning: hyperintensity of the basal ganglia and cortex on FLAIR and diffusion-weighted imaging. AJR Am J Roentgenol 195:S1–S8

    PubMed  Google Scholar 

  • Biagas K (1999) Hypoxic-ischemic brain injury: advancements in understanding of mechanisms and potential avenues for therapy. Curr Opin Pediatr 11:223–228

    PubMed  CAS  Google Scholar 

  • Christophe C, Fonteyne C, Ziereisen F, Christiaens F, Deltenre P, De Maertelaer V et al (2002) Value of MR imaging of the brain in children with hypoxic coma. AJNR Am J Neuroradiol 23:716–723

    PubMed  Google Scholar 

  • Dubowitz DJ, Bluml S, Arcinue E, Dietrich RB (1998) MR of hypoxic encephalopathy in children after near drowning: correlation with quantitative proton MR spectroscopy and clinical outcome. AJNR Am J Neuroradiol 19:1617–1627

    PubMed  CAS  Google Scholar 

  • Gutierrez LG, Rovira A, Portela LA, Leite Cda C, Lucato LT (2010) CT and MR in non-neonatal hypoxic-ischemic encephalopathy: radiological findings with pathophysiological correlations. Neuroradiology 52:949–976

    PubMed  Google Scholar 

  • Huang BY, Castillo M (2008) Hypoxic-ischemic brain injury: imaging findings from birth to adulthood. Radiographics 28:417–439

    PubMed  Google Scholar 

  • McKinney AM, Teksam M, Felice R, Casey SO, Cranford R, Truwit CL et al (2004) Diffusion-weighted imaging in the setting of diffuse cortical laminar necrosis and hypoxic-ischemic encephalopathy. AJNR Am J Neuroradiol 25:1659–1665

    PubMed  Google Scholar 

  • Topcuoglu MA, Oguz KK, Buyukserbetci G, Bulut E (2009) Prognostic value of magnetic resonance imaging in post-resuscitation encephalopathy. Intern Med 48:1635–1645

    PubMed  Google Scholar 

Case 5: Orbital Cellulitis

  • Book

    Google Scholar 

  • Ric Harnsberger H (1995) Handbook of head and neck imaging, 2nd edn. Mosby, St. Louis

    Google Scholar 

  • Web Link

    Google Scholar 

  • http://www.merckmanuals.com/professional/eye_disorders/orbital_diseases/preseptal_and_orbital_cellulitis.html

  • Articles

    Google Scholar 

  • Capps EF, Kinsella JJ, Gupta M, Bhatki AM, Opatowsky MJ (2010) Emergency imaging assessment of acute, nontraumatic conditions of the head and neck. Radiographics 30:1335–1352

    PubMed  Google Scholar 

  • Chung EM, Smirniotopoulos JG, Specht CS, Schoroeder JW, Cube R (2007) Pediatric orbit tumors and tumorlike lesions:nonosseous lesions of the extraocular orbit. From the archives of the AFIP. Radiographics 27:1777–1799

    PubMed  Google Scholar 

  • Curtin HD, Rabinov JD (1998) Extension to the orbit from paraorbital disease. The sinuses. Radiol Clin North Am 36:1201–1213

    PubMed  CAS  Google Scholar 

  • Hopper KD, Sherman JL, Boal DK, Eggli KD (1992) CT and MR imaging of the pediatric orbit. Radiographics 12:485–503

    PubMed  CAS  Google Scholar 

  • Khanna G, Sato Y, Smith RJ, Baumen NM, Nerad J (2006) Causes of facial swelling in pediatric patients: correlation of clinical and radiological findings. Radiographics 26:157–171

    PubMed  Google Scholar 

  • LeBedis CA, Sakai O (2008) Nontraumatic orbital conditions: diagnosis with CT and MR imaging in the emergent setting. Radiographics 28:1741–1753

    PubMed  Google Scholar 

  • Lee S, Yen MT (2011) Management of preseptal and orbit cellulitis. Saudi J Ophthalmol 25:21–29

    Google Scholar 

  • Ludwig BJ, Foster BR, Saito N, Nadgir RN, Castro-Aragón I, Sakai O (2010) Diagnostic imaging in nontraumatic pediatric head and neck emergencies. Radiographics 30:781–799

    PubMed  Google Scholar 

  • Towbin R, Han BK, Kaufman RA, Burke M (1986) Postseptal cellulitis: CT in diagnosis and management. Radiology 158:735–737

    PubMed  CAS  Google Scholar 

  • Wells RG, Sty JR, Gonnering RS (1989) Imaging of the pediatric eye and orbit. Radiographics 9:1023–1044

    PubMed  CAS  Google Scholar 

Case 6: Retropharyngeal Infections in Children

  • Book

    Google Scholar 

  • Long SS, Pickering LK, Prober CG (eds) (2008) Principles and practice of pediatric infectious diseases, 3rd edn. Elsevier, Philadelphia, pp 213–221

    Google Scholar 

  • Web Link

    Google Scholar 

  • http://www.uptodate.com

  • Articles

    Google Scholar 

  • Bakshi RB, Grover GG (2009) Retroharyngeal with mediastinal extension in an infant-still existing? Pediatr Emerg Care 25:181–183

    PubMed  Google Scholar 

  • Craig FW, Schunk JE (2003) Retropharyngeal abscess in children: clinical presentation, utility of imaging, and management. Pediatrics 6:1394–1398

    Google Scholar 

  • Croche Santander B, Prieto del Prado A, Madrid Castillo O, Obando Santaella I (2011) Abscesos retrofaringeo y parafaríngeo: experiencia en un hospital terciario de Sevilla durante la última década. An Pediatr 75:266–272

    CAS  Google Scholar 

  • Courtney MJ, Mahadevan M, Miteff A (2007) Management of paediatric retropharyngeal infection: non surgical versus surgical. ANZ J Surg 77:985

    PubMed  Google Scholar 

  • Daya H, Lo S, Papsin BC (2005) Retropharyngeal and parapharingeal infections in children: the Toronto experience. Int J Pediatr Otorhinolaryngol 69:81–86

    PubMed  Google Scholar 

  • Grisaru-Soen G, Komisar O, Aizenstein O, Soudack M, Schartz D (2010) Retropharyngeal and parapharyngeal abscess in children – epidemiology, clinical features and treatment. Int J Pediatr Otorhinolaryngol 74:1016–1020

    PubMed  Google Scholar 

  • Hon KL, Chu WC, Sung JKK (2010) Retropharyngeal abscess in a young child due to ingestion of eel vertebrae. Pediatr Emerg Care 26:439–441

    PubMed  Google Scholar 

  • Marín Campagne E, del Castillo Martín F, Martínez López MM, BorquedeAndrés C, José de Gómez M, García de Miguel MJ, Baquero Artigao F (2006) Abscesos periamigdalino y retrofaringeo: estudio de 13 años. An Pediatr 65:32–36

    Google Scholar 

  • Morrison JE Jr, Pashley NR (1998) Retropharyngeal abscesses in children: a 10-year review. Pediatr Emerg Care 4:9

    Google Scholar 

  • Propst EJ, Prager JD, Shott SR, Koch B, Mortensen JE, Greinwald JH (2011) Resolution of hypoglossal nerve palsy associated with retropharyngeal abscess prompt medical and surgical treatment. Int J Pediatr Otorhinolaryngol 6:74–77

    Google Scholar 

Case 7: Acute Bacterial Sinusitis

  • Book

    Google Scholar 

  • Cherry JD, Shapiro NL (2009) Sinusitis. In: Feigin RD, Cherry JD, Demmler-Harrison GJ, Kaplan SL (eds) Feign and Cherry’s textbook of pediatric infectious diseases, 6th edn. Saunders, Philadelphia, p 20116

    Google Scholar 

  • Web Link

    Google Scholar 

  • http://www.uptodate.com/contents/acute-bacterial-sinusitis-in-children

  • Articles

    Google Scholar 

  • American Academy of Pediatrics (2001) Subcommittee on management of sinusitis and committee on quality improvement. Clinical practice guideline: management of sinusitis. Pediatrics 108:798–808

    Google Scholar 

  • Arruda LK, Mimica IM, Solé D et al (1990) Abnormal maxillary sinus radiographs in children: do they represent bacterial infection? Pediatrics 85:553–558

    PubMed  CAS  Google Scholar 

  • Diament MJ (1992) The diagnosis of sinusitis in infants and children: x-ray, computed tomography, and magnetic resonance imaging. Diagnostic imaging of pediatric sinusitis. J Allergy Clin Immunol 90:442–444

    PubMed  CAS  Google Scholar 

  • Goytia VK, Giannoni CM, Edwards MS (2011) Intraorbital and intracranial extension of sinusitis: comparative morbidity. J Pediatr 158:486–491

    PubMed  Google Scholar 

  • Lindbaek M, Hjortdahl P, Johnsen UL (1996) Use of symptoms, signs, and blood tests to diagnose acute sinus infections in primary care: comparison with computed tomography. Fam Med 28:183–188

    PubMed  CAS  Google Scholar 

  • Meltzer EO, Hamilos DL, Hadley JA et al (2004) Rhinosinusitis: establishing definitions for clinical research and patient care. J Allergy Clin Immunol 114:155–212

    PubMed  Google Scholar 

  • Revai K, Dobbs LA, Nair S et al (2007) Incidence of acute otitis media and sinusitis complicating upper respiratory tract infection: the effect of age. Pediatrics 119:e1408–e1412

    PubMed  Google Scholar 

  • Slavin RG, Spector SL, Bernstein IL et al (2005) The diagnosis and management of sinusitis: a practice parameter update. J Allergy Clin Immunol 116:S13–S47

    PubMed  Google Scholar 

  • Wald ER (1998) Sinusitis. Pediatr Ann 27:811–818

    PubMed  CAS  Google Scholar 

  • Wolf G, Anderhuber W, Kuhn F (1993) Development of the paranasal sinuses in children: implications for paranasal sinus surgery. Ann Otol Rhinol Laryngol 102:705–711

    PubMed  CAS  Google Scholar 

Case 8: Palm Tree Thorn Foreign Body Injury at the Knee

  • Book

    Google Scholar 

  • Siegel MJ, Coley BD (2006) Pediatric imaging. Lippincott Williams & Wilkins, Philadelphia

    Google Scholar 

  • Web Link

    Google Scholar 

  • http://www.botanical-dermatology-database.info/BotDermFolder/PALM.html

  • Articles

    Google Scholar 

  • Baneee B, Das RK (1991) Sonographic detection of foreign bodies of the extremities. Br J Radiol 64:107–112

    Google Scholar 

  • Clarke JD, McCeffrey DD (2007) Thorn injury mimicking a septic arthritis of the knee. Ulster Med J 76:164–165

    PubMed  Google Scholar 

  • Cozen L, Fonda M (1953) Palm thorn injuries. Difficulty in diagnosis of late sequelae. Calif Med 79:40–41

    PubMed  CAS  Google Scholar 

  • Gerle RD (1971) Thorn induced pseudo-tumors of bone. Br J Radiol 44:642–645

    PubMed  CAS  Google Scholar 

  • Karshner RG, Hanafee W (1953) Palm thorns as a cause of joint effusion in children. Radiology 60:592–595

    PubMed  CAS  Google Scholar 

  • Klein B, McGahan JP (1985) Thorn synovitis CT diagnosis. J Comput Assist Tomogr 6:1135–1136

    Google Scholar 

  • Kratz A, Greenberg D, Barki Y, Cohen E, Lifshitz M (2003) Pantoea agglomerans as a cause of septic arthritis after palm tree thorn injury; a case report and literature review. Arch Dis Child 88:542–544

    PubMed  CAS  Google Scholar 

  • Pai VS, Tan E, Matheson JA (2004) Box thorn embedded in the cartilaginous distal femur. Injury Extra 35:45–47

    Google Scholar 

  • Southgate GW, Murray RO (1982) Thorn-induced synovitis. Skeletal Radiol 8:79–80

    PubMed  CAS  Google Scholar 

  • Vega Curiel A, Villaverde Romon M, Carrillo Lucia F, RuizdelPortal B, Carranza M, Bencano A (2001) Injuries from palm tree thorn simulating tumoral or pseudotumoral bone lesions. Acta Orthop Belg 67:279–282

    PubMed  CAS  Google Scholar 

Case 9: Ovarian Torsion

  • Book

    Google Scholar 

  • Siegel M (2004) Pediatric sonography, 2nd edn. Marban, Madrid, pp 551–554

    Google Scholar 

  • Web Link

    Google Scholar 

  • http://imaging.consult.com/imageSearch?query=ovarian+torsion&global_search=Search&modality=+&anatomicRegion=

  • Articles

    Google Scholar 

  • Anders J, Powell E (2005) Urgency of evaluation and outcome of acute ovarian torsion in pediatric patients. Arch Pediatr Adolesc Med 159:532–535

    PubMed  Google Scholar 

  • Chang H, Bhatt S, Dogra V (2008) Pearls and pitfalls in diagnosis of ovarian torsion. Radiographics 28:1355–1368

    PubMed  Google Scholar 

  • Garel L, Dubois J, Grignon A, Filiatrault D, Van Vliet G (2001) US of the pediatric female pelvis: a clinical perspective. Radiographics 21:1393–1407

    PubMed  CAS  Google Scholar 

  • Linam LE, Darolia R, Naffaa LN, Breech LL, O’Hara SM, Hillard PJ et al (2007) US findings of adenxal torsion in children and adolescents: size really does matter. Pediatr Radiol 37:1013–1019

    PubMed  Google Scholar 

  • Meyer JS, Harmon CM, Harty MP, Markowitz RI, Hubbard AM, Bellah RD (1995) Ovarian torsion: clinical and imaging presentation in children. J Pediatr Surg 30:1433–1436

    PubMed  CAS  Google Scholar 

  • Oelsner G, Shashar D (2006) Adnexal torsion. Clin Obstet Gynecol 49:459–463

    PubMed  Google Scholar 

  • Rody A, Jackish C, Klockenbush W (2002) The conservative management of adnexal torsion: a case report and review of the literature. Eur J Obstet Gynecol Reprod Biol 101:83–86

    PubMed  CAS  Google Scholar 

  • Servaes S, Zurakowski D, Laufer M, Feins N, Chow J (2007) Sonographic findings of ovarian torsion in children. Pediatr Radiol 37:446–451

    PubMed  Google Scholar 

  • Siegel M, Stark J (1994) Ovarian torsion in prepubertal and pubertal girls: sonographic findings. AJR Am J Roentgenol 163:1479–1482

    PubMed  Google Scholar 

  • Sung T, Callahan M, Taylor G (2006) Clinical and imaging mimickers of acute appendicitis in the pediatric population. AJR Am J Roentgenol 186:67–74

    PubMed  Google Scholar 

Case 10: The Limping Child: A Systematic Approach to Diagnosis

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Martínez-León, M.I. (2012). Emergency Imaging. In: Martínez-León, M., Martínez-Valverde, A., Ceres-Ruiz, L. (eds) Imaging for Pediatricians. Imaging for Clinicians, vol 1. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-28629-2_8

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