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What is the value of magnetic resonance imaging in children with normal initial computerised tomography scans?

The following is a summary of the systematic review findings up to the date of our most recent literature search. If you have a specific clinical case, we strongly recommend you read all of the relevant references as cited and look for additional material published outside our search dates.

 

Results 1-3

  • Of 374 studies reviewed from the international literature, three articles addressed this issue
  • Study design:
    • 3 case study / case series
  • Age: ranging from 0-4 years
  • Total data: eight children

Study limitations 2

  • Details on the standard of original reporting were not provided
  • It is unclear where children were living / placed between computerised tomography (CT) scan and magnetic resonance imaging (MRI)

Analysis of included studies 1-3

  • Of eight children with normal CT undergoing MRI, MRI showed:
    • subdural collections
    • cortical contusion
    • shearing injury

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References

  1. Chabrol B, Decarie JC, Fortin G. The role of cranial MRI in identifying patients suffering from child abuse and presenting with unexplained neurological findings. Child Abuse and Neglect. 1999;23(3):217-228 [Pubmed]
  2. Morad Y, Avni I, Benton SA, Berger RP, Byerley JS, Coffman K, Greeley CS, Gustavson EE, Levitt CJ, Lenane A, Topley J, Levin AV. Normal computerized tomography of brain in children with shaken baby syndrome. Journal of AAPOS: American Association for Pediatric Ophthalmology and Strabismus. 2004;8(5):445-450 [Pubmed]
  3. Sato Y, Yuh WT, Smith WL, Alexander RC, Kao SC, Ellerbroek CJ. Head injury in child abuse: evaluation with MR imaging. Radiology. 1989;173(3):653-657 [Pubmed]

 

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