Total number of CT scans <1 year old and presenting problems and number of positive CT scans for intracranial pathology
| Presentation | Scans—total 135 | Intracranial pathology on CT | Positive for skull fracture only | Positive for intracranial haemorrhage*±skull fracture |
| Trauma, fall±vomit | 74 | 28 | 8 | 20 |
| Head swelling | 11 | 2 | 0 | 2 |
| NAI screen | 7 | 0 | 0 | 0 |
| Arrest/unresponsive | 8 | 7 | 0 | 7 |
| Other† | 35 | 5 | 0 | 0 |
From all the traumatic presentations, only one child was taken to theatre for emergency craniotomy. All the others were managed conservatively in either the surgical unit or the PICU.
*Extra-axial haemorrhage 2; epidural haematoma 1; subdural haematoma 8; subarachnoid haemorrhage 9; combination of haemorrhage 9.
†Reasons for CT in this population that were not related to trauma or suspected trauma and labelled as other include; sepsis; seizures; irritable/drowsy or suspected CVA.
CVA, cerebrovascular accident; NAI, non-accidental injury; PICU, paediatric intensive care unit.