Equestrian-Related Traumatic Brain Injury in the Pediatric Population. Pediatr Neurosurg 2016;51(6):279-283
Date
06/21/2016Pubmed ID
27322378DOI
10.1159/000446402Scopus ID
2-s2.0-84976320765 (requires institutional sign-in at Scopus site) 4 CitationsAbstract
BACKGROUND: Equestrian activities can be undertaken for competition or leisure. Accidents can lead to bodily injuries. In particular, traumatic brain injury (TBI) can be devastating. Limited data exist regarding the pediatric population with respect to patterns of injury and related neurosurgical intervention.
METHODS: We retrospectively reviewed data for all pediatric patients diagnosed with equestrian-related injuries with neurological injuries from 2005 through June 2015.
RESULTS: Nine patients (1 male and 8 females) had neurological injuries. Their mean age was 10.4 years (range 2.9-16.8 years). Intracranial pathologies ranged from small punctate hemorrhages to large surgical extra-axial hematomas. Five patients also had concurrent skull fractures; 2 exhibited open lesions. Two patients required a decompressive craniotomy with placement of an external ventricular drain. Three patients exhibited other minor injuries; none had thoracic/abdominal/pelvic injuries. At discharge, all had good recovery; 1 patient who had a craniotomy did have a persistent right third-nerve palsy.
CONCLUSION: Equestrian activities can present with dangerous and unpredictable situations, which can lead to profound neurological injury. Caution should be observed for all involved members, as both riders and nonriders are susceptible to harm. Protective gear (such as helmets), adequate training, and extensive experience are encouraged.
Author List
Nguyen HS, Lew SAuthor
Sean Lew MD Chief, Professor in the Neurosurgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdolescentAnimals
Athletic Injuries
Brain Injuries, Traumatic
Child
Child, Preschool
Female
Head Protective Devices
Horses
Humans
Male
Retrospective Studies
