Medicine and Health Sciences Commons^™

Regional And Socioeconomic Factors Impacting Pediatric Victims Of Cranial Gunshot Wounds: Analysis Of The Kids’ Inpatient Database (Kid), Michael Melhem, Elise Yoon, Matthew Brennan, Enoch Kim, Yasmeen Berry, Michael Cools, Leopold Arko

Medical Student Research Symposium

Introduction

Injury by firearms among the pediatric population is a growing concern in the United States. This paper investigates demographic factors associated with pediatric cranial gunshot wounds (GSW).

Methods

A query of the KID databases from 1997-2019 was run for cranial GSW and craniotomy ICD-9 and ICD-10 codes. ANOVA and chi-squared tests were performed to analyze demographics and outcomes by injury type.

Results

Our query resulted in 2990 cranial GSW patients; 86.1% were male. Mean age was 16.48 years; accidental victims were the youngest and intentional the oldest (14.88±5.2, 17.2±2.3, p< 0.001). Blacks, Hispanics, and Asian-Pacific-Islanders (minorities) were most commonly victims of assault; Whites were most commonly victims of intentional GSW (p< 0.001). Victims mostly had Medicaid except for intentional victims who were more likely to have private insurance (p< 0.001). Assault was the predominant injury type in all regions, especially in the West (33.7%). The South had the most accidental (51.9%) and intentional (44.6%) injuries. In 1997 and 2019 the predominant GSW type was accidental; in all other years assault predominated. Accidental victims were most likely to undergo craniotomy and intentional were least likely (p< 0.001). Inpatient mortality was 46.4% with intentional victims having the highest rate (68.6%) then undetermined (60.3%) and law enforcement-related (57.7%).

Conclusion

Victims of assault were more likely to be …

Exploring The Relationship Of Varying Hydrocephalus Severity On Csf Dynamics In A Pediatric Hydrocephalus Rodent Model, Parker R. Fitzgerald, Grant Zydeck, Jeff Horbatiuk, Enoch Kim, Arjun Muralidharan, Carolyn A. Harris Phd

Medical Student Research Symposium

Hydrocephalus causes neurological effects and high intracranial pressure (ICP) in the pediatric condition. Studies observing the relationship between ICP and cerebrospinal fluid (CSF) production in an electrical resistance model have been performed, but less has been done to define this relationship in living organisms. This study explored CSF flow dynamics as a consequence of hydrocephalus severity utilizing a novel model.

The model induced hydrocephalus in rats through injecting 30-50 micrometers of 25% (w/v) kaolin into the cisterna magna to obstruct CSF outflow. After 15-16 days of acclimation, the rats were anesthetized with isoflurane. A Transonic SP200 pressure transducer was inserted …

Insular And Amygdala Origin Seizures: Unmasked With Electrocorticography (Ecog), Younes Motii, Arichenaramanathan Manmatharayan, Parthasarathi Chamiraju, Mona Elsayed

Medical Student Research Symposium

Insular and Amygdala Origin Seizures: Unmasked with Electrocorticography (ECOG)

Introduction:

Insula and amygdala have a large network of connections to other cortical regions. Seizures originating from these structures may become evident only after propagation to other structures. High degree of attention must be paid to auras and seizure semiology in patients with medically intractable epilepsy.

Methodology:

We have described a series of three adult male patients with focal intractable epilepsy who did not have structural lesions on Magnetic Resonance Imaging (MRI). Patients underwent MRI, Positron Emission Tomography (PET) scan, scalp electroencephalography (EEG), and stereo EEG implantation.

Results:

All three patients …