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Seminars in Neurosurgery 2003; 14(2): 111-118
DOI: 10.1055/s-2003-42765
Copyright © 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

The Management of Pediatric Traumatic Brain Injury

John C. Wellons, III1 , R. Shane Tubbs1,2
  • 1Section of Pediatric Neurosurgery, Children's Hospital of Alabama
  • 2Department of Cell Biology, University of Alabama at Birmingham, Birmingham, Alabama
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Publikationsdatum:
02. Oktober 2003 (online)

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ABSTRACT

The management of pediatric closed head injury has progressed over the last decade; however, the involvement of children in trauma causing significant injury to the central nervous system remains a public health problem. Prevention continues to be central to reducing its impact. Secondary injury to the brain may be reduced through aggressive treatment of hypoxia, hypotension, hyperthermia, and raised intracranial pressure. Therapy instituted in the field, the ED, the operating room, the ICU, and the rehabilitation ward is crucial for recovery. Although acute treatment may be extrapolated from the adult literature and practice patterns, therapy for children must be individualized on the basis of injury, age, and response to care.

KEYWORDS

Pediatric - closed head injury - traumatic brain injury

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