To know the principal nontraumatic pediatric neck pathologies in the emergency setting. To analize the different imaging modalities for an initial evaluation. To standardize a radiological diagnostic method based on the symptomatology.
The evaluation of pediatric patients in the neck emergency setting is a challenge for the radiologist due to a limited physical examination and the relative low incidence of this pathology,
which make it a less known field for the general radiologist. We propose a practical analysis based on the three more frequent clinical forms: Neck swelling/palpable mass,
fever with dysphagia and breathing difficulties.
Findings and procedure details
The main findings seen across all imaging modalities were clustered in 3 groups,
as follows: A).- NECK SWELLING / PALPABLE MASS: 1.- Cervical lymphadenopathy: Enlarged cervical nodes are the most common neck masses in children. Enlargement of cervical lymph nodes may be due to infectious,
or idiopathic causes. Normal lymph nodes are classified according to diameter,
which is generally less than 10 mm in the long axis.
Exceptions are level IB and IIA nodes,
Neck pediatric emergencies represent a wide range of pathologic processes that can be clustered in: Neck swelling/palpable mass,
fever with dysphagia and breathingdifficulties. Imaging plays a critical role in diagnosis of pediatric neck emergencies and its potential life threatening complications. To achieve an accurate diagnosis,
radiologists must be familiar with the imaging appearances of infectious,
and neoplastic conditions within neck across all modalities.
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MD Rohini N.
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