Abstract
Pediatric head injury is a public health problem that exacts a high price from patients, their families and society alike. While much of the brain damage in headinjured patients occurs at the moment of impact, secondary injuries can be prevented by aggressive medical and surgical intervention. Modern imaging devices have simplified the task of diagnosing intracranial injuries. Recent advances in monitoring technology have made it easier to assess the effectiveness of medical therapy. These include intracranial pressure monitoring devices that are accurate and safe, and jugular bulb monitoring which provides a continuous, qualitative measure of cerebral blood flow. The cornerstones of treatment remain hyperventilation and osmotherapy. Despite maximal treatment, however, the mortality and morbidity associated with pediatric head injury remains high. Reduction of this mortality and morbidity will likely depend upon prevention rather than treatment.
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References
Kraus JF, Fife D, Conroy C. Pediatric brain injuries. The nature, clinical course, and early outcomes in a defined United States population.Pediatrics 1987; 79: 501–507
Kraus JF, Nourjah, P. The epidemiology of uncomplicated brain injury.J Trauma 1988; 28:1637–1643.
Goldstein B, Kelly MM, Bruton D, Cox C. Inflicted versus nonaccidental head injury in critically injured children.Crit Care Med 1993; 21:1328–1332.
Sharma AK, Sarin YK, Manocha S,et al. Pattern of childhood trauma. Indian perspective.Indian Pediatr 1993; 30: 57–60.
Muizelaar JP, Marmarou A, Ward JD,et al. Adverse effects of prolonged hyperventilation in patients with severe head injury. A randomized clinical trial.J Neurosury 1991; 75:731–739.
Bemardi B, Zimmerman RA, Bilaniuk LT. Neuroraddologic evaluation of pediatric craniocerebral trauma.Top Magn Reson Imaging 1993; 5:161–173.
Hahn YS, McLone DG. Risk factors in the outcome of children with minor head injury.Pediatr Neurosurg 1993; 19:135–142.
Carey MJ, van der Post J. Computed tomography scanning and minor head injuries.N Z Med J (14 December) 1994; 500–501.
Wolf AL, Levi L, Marmarou A,et al. Effect of THAM upon outcome in severe head injury. A randomized prospective clinical trial.J Neurosurg 1993; 78: 54–59.
Kerr ME, Lovasik D, Darby J. Evaluating cerebral oxygenation using jugular venous oximetry in head injuries.AACN Clinical Issues 1995; 6:11–20.
Johnston MV, Gerring JP. Head trauma and its sequelae.Pediatric Annuls 1992; 21:362–368.
Luerssen TG, Klauber MR, Marshall LF. Outcome from head injury related to patient’s age. A longitudinal prospective study of adult and pediatric head injury.J Neurosurg 1988; 68: 409–416.
Mazurek AJ. Epidemiology of paediatric injury.Journal of Accident and Emergency Medicine 1994; 11: 9–16.
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Tulipan, N. Pediatric head injury. Indian J Pediatr 65, 503–512 (1998). https://doi.org/10.1007/BF02730881
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DOI: https://doi.org/10.1007/BF02730881