pediatric head injury
نویسندگان
چکیده
minor trauma to the head is common in childhood and does not require any medical or surgical treatment. nevertheless, head injury in infancy and childhood is the single most common cause of death and permanent disability. measurable deficits occur even after mild to moderate head injury but are markedly greater after severe injury. they include impaired cognition, motor impairments, disruption of attention and information processing, and psychiatric disturbances. despite the frequency of the sequelae of head injury in childhood, there is relatively little information about the structural basis of the clinical deficits. classical literature suggests that the immature brain and its coverings, at a time when it is rapidly acquiring new information, respond differently from the adult brain when subjected to an equivalent amount of mechanical force, whether mediated by contact or inertial loading. identification of different patterns of injury in different age groups has resonance in clinical practice and now provides a reference point for future clinical and neuropathological studies. this work not only provides the basis for the future management of patients, but also serves to remind us of the continuing value of the autopsy and the proper examination of retained organs using modernstandardized techniques.
منابع مشابه
[Pediatric head injury]
OBJECTIVE: To present an update on head injury with a review of the literature. The authors emphasize the importance of the secondary brain injury prevention and describe the basic principles of the treatment, from the site of the accident to the intensive care unit.METHODS: Papers and abstracts from the database Lilac in the period between 1984 and 1999 and Medline between 1995 and 1999 were r...
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Many studies have found conflicting evidence over the use of clinical indicators to predict intracranial injury in pediatric mild head injury. Although altered mental status, loss of consciousness, and abnormal neurologic examination have all been found to be more prevalent among head-injured children, studies have observed inconsistent results over their specificity and predictive value. Child...
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Older infants suffer from tears at pontomedullary junction, petechial hemorrhages and cellular necrosis. By one year of age sutures are closed and skull becomes rigid. Glial cell proliferation, synaptic connections, and dendrites arborization progress logarithmically till two years of age. Myelinization begins at first year and progress till 10 year of life. Hence contusions, subarachnoid and e...
متن کاملPediatric head injury and concussion.
Children with head injuries frequently present to emergency departments. Even though most of these children have minor injuries, head injury is the most common cause of traumatic deaths in pediatric patients. The pediatric GCS and decision rules for obtaining head CT imaging help the provider evaluate head-injured infants and children. The provider must be vigilant to diagnose those who have li...
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عنوان ژورنال:
iranian journal of child neurologyجلد ۲، شماره ۲، صفحات ۷-۱۳
کلمات کلیدی
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