Late Neurologic and Cognitive Sequelae of Inflicted Traumatic Brain Injury in Infancy

Barlow, Karen M.; Thomson, E.; Johnson, David A.; Minns, Robert A.

doi:10.1542/peds.2004-2739

Cited by 298 publications

(192 citation statements)

References 45 publications

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“…The original GOS is frequently used to examine outcomes in children [36][37][38] , although data on the validity of the GOS in this context are limited. The brevity of the GOS and its ease of administration are considered to be advantages over other scales 39 , but the literature generally points towards benefits from using a modified version of the GOSE for children.…”

Section: [H2] Children's Versionsmentioning

confidence: 99%

The Glasgow Outcome Scale — 40 years of application and refinement

et al. 2016

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Section: [H2] Children's Versionsmentioning

confidence: 99%

The Glasgow Outcome Scale — 40 years of application and refinement

et al. 2016

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“…Therefore, it is more likely for a child to suffer a more severe head injury than an adult given the same mechanism and forces. (15) Children generally have a better prognosis than adults do after the same injury, although prognosis is probably age and injury-dependent. Notably, inflicted brain injuries have worse outcomes and are the most common cause of head injury deaths.…”

Section: C-severe Head Injuries (Gcs or Pgcs 8)mentioning

confidence: 99%

Management and Rehabilitation of Traumatic Brain Injury in Children

El-Twab

Foaud

youssef

et al. 2013

Zagazig University Medical Journal

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Traumatic brain injury is described as a blow to the head or a penetrating head damage which disturb the normal function of the brain. Traumatic brain injuries, in children are common and sometimes are powerful in threatening the life and are leading causes of acquired disability and death. Traumatic brain injury is responsible for nearly 1.4 million injuries and 52 000 deaths annually in the United States. Therefore, in this paper we reviewed the new and recent advances about the management and neuromonitoring in pediatric traumatic brain injury. And to provide a summary of the empirical research on management and rehabilitation in pediatric traumatic brain injury (TBI). Studies of the effectiveness of interventions with children with TBI are hampered by difficulty with combining subjects with various levels of TBI, problems with random assignment to treatment groups, and varying age levels at injury. While these are areas of concern, there are emerging studies that indicate both applied behavioral analysis (ABA) and positive behavioral interventions are helpful to many children. For some children, ABA is not successful, and a shift to positive behavioral interventions has been found to be helpful. Transitions to home and school can be difficult particularly if there are family issues that predated the injury. This review provides additional information for the pediatric neuropsychologist to assist with transition to school and home. Studies utilizing the Internet for family interventions have revealed promising results. Conclusion: Neuromonitoring technology is still at an early stage in pediatric TBI. These improvements have provided the possibility of true multimodal monitoring for useful treatments. But, using clinical functional neuromonitoring would help clinicians to evaluate the managements in hospitals. Studies have indicated that children with severe TBI show significant difficulties with emotional and behavioral adjustment that pose more challenges for intervention and reentry to home and school compared with cognitive and physical issues.

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“…Unique to pediatrics is inflicted traumatic brain injury (iTBI), a major cause of TBI in young patients [17]. Inflicted injury is associated with worse outcome compared to accidental trauma and represents a disproportionate number of deaths in the patients 2 years of age [18][19][20][21]. Different biomechanical mechanisms of injury, exposure to multiple repeated insults, younger age of patients, and secondary injury factors, such as hypoxia and seizures, have all been proposed as potential factors.…”

Section: How Is Tbi Different In Children?mentioning

confidence: 99%

Pediatric Neurocritical Care

Murphy

2012

Neurotherapeutics

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Pediatric neurocritical care is an emerging multidisciplinary field of medicine and a new frontier in pediatric critical care and pediatric neurology. Central to pediatric neurocritical care is the goal of improving outcomes in critically ill pediatric patients with neurological illness or injury and limiting secondary brain injury through optimal critical care delivery and the support of brain function. There is a pressing need for evidence based guidelines in pediatric neurocritical care, notably in pediatric traumatic brain injury and pediatric stroke. These diseases have distinct clinical and pathophysiological features that distinguish them from their adult counterparts and prevent the direct translation of the adult experience to pediatric patients. Increased attention is also being paid to the broader application of neuromonitoring and neuroprotective strategies in the pediatric intensive care unit, in both primary neurological and primary non-neurological disease states. Although much can be learned from the adult experience, there are important differences in the critically ill pediatric population and in the circumstances that surround the emergence of neurocritical care in pediatrics.

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Late Neurologic and Cognitive Sequelae of Inflicted Traumatic Brain Injury in Infancy

Cited by 298 publications

References 45 publications

The Glasgow Outcome Scale — 40 years of application and refinement

The Glasgow Outcome Scale — 40 years of application and refinement

Management and Rehabilitation of Traumatic Brain Injury in Children

Pediatric Neurocritical Care

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