Neuroimaging & Prognosis in "Shaken Baby" traumatic brain injury (ITBI)
28 babies with ITBI had radiological studies performed during the acute phase (0-3 days) of injury and 4 days - 1 month later, and the clinical outcome of survivors compared to their radiological studies.
Both early and late radiological signs of significant brain abnormality (basal ganglia/brain stem) are associated poor long-term neurological outcome.
Source: Acta Paediatrica, June 2012
|TBI in Young Children 4: Shaken Baby Syndrome and Normal Infant Crying|
Source: Brain Injury Association, Utah via YouTube
ECMO for Acute Respiratory Failure in a patient with Chronic Granulomatous Disease. (CGD)
CGD is a diverse group of hereditary diseases in which some of the cells of the immune system cannot generate, mostly, the superoxide radical required to kill ingested pathogens. Granulomata form as a result, in many organs.
This case report of a 9 year old CGD boy who presented with fulminant respiratory failure and who was treated with ECMO, and survived, indicates that a diagnosis of CGD should not be considered a contraindication to ECMO therapy.
Source: Journal of Pediatric Surgery, May 2012