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Traumatic brain injury in childs

Joanne N Wood, M Katherine Henry, Rachel P Berger, Daniel M Lindberg, James D Anderst, Lihai Song, Russell Localio, Chris Feudtner
OBJECTIVES: To describe the percentage and characteristics of children <24 months old with non-motor vehicle crash (non-MVC)-related injuries who 1) undergo a skeletal survey and 2) have occult fractures. METHODS: We performed a retrospective chart review of a stratified, systematic random sample of 1769 children <24 months old with non-MVC-related bruises, burns, fractures, abdominal injuries, and head injuries at 4 children's hospitals from 2008-2012. Sampling weights were assigned to each child to allow for representative hospital-level population estimates...
August 16, 2018: Academic Pediatrics
Juliet Haarbauer-Krupa, Tricia Z King, Justin Wise, Schauna Gillam, Julie Trapani, Barbara Weissman, Roberta DePompei
OBJECTIVE: To describe elementary school outcomes for children who experienced a traumatic brain injury (TBI) before age 6 years compared with a control group of children with orthopedic injuries. PARTICIPANTS: Children ages 6 to 9 years recruited from community and trauma registries in a large southeastern state. DESIGN: Descriptive findings from the first year of a 3-year longitudinal study. MAIN MEASURES: Child assessment and parent report measures were administered to capture cognitive, language, reading, and behavior outcomes...
July 24, 2018: Journal of Head Trauma Rehabilitation
Cindy W Christian, Alex V Levin
Child abuse can cause injury to any part of the eye. The most common manifestations are retinal hemorrhages (RHs) in infants and young children with abusive head trauma (AHT). Although RHs are an important indicator of possible AHT, they are also found in other conditions. Distinguishing the number, type, location, and pattern of RHs is important in evaluating a differential diagnosis. Eye trauma can be seen in cases of physical abuse or AHT and may prompt referral for ophthalmologic assessment. Physicians have a responsibility to consider abuse in the differential diagnosis of pediatric eye trauma...
August 2018: Pediatrics
Shari L Wade, Gary Bedell, Jessica A King, Michele Jacquin, Lyn S Turkstra, Juliet Haarbauer-Krupa, Jeremy Johnson, Ralph Salloum, Megan E Narad
PURPOSE/OBJECTIVE: Our goal was to examine the feasibility and preliminary efficacy of an app-based coaching intervention (Social Participation and Navigation; SPAN) to help survivors of acquired brain injury attain social participation goals. Research Method/Design: This is a nonrandomized pilot trial of SPAN, including 15 adolescents (9 with traumatic brain injury, 6 with brain tumor) between the ages of 14-22. The SPAN intervention consisted of a mobile app to support the development and implementation of social participation goals, weekly video-conference coaching sessions to identify goals and step-by-step action plans, and online didactic materials...
July 19, 2018: Rehabilitation Psychology
Kelly M Jones, Nicola J Starkey, Alice Theadom, Alina Gheorghe, Dawn Willix-Payne, Philip Prah, Valery L Feigin
BACKGROUND: Mild traumatic brain injury (mTBI) in children is most commonly associated with parent-reported child behaviour problems. The extent to which parent and child ratings align is unknown. OBJECTIVES: To examine differences in child behaviour and patterns of recovery over the first 12 months following mTBI based on parent and child self-report. METHODS: Ninety-nine children (8-15 years) with mTBI and one of their parents completed the Behavioural Assessment Scale for Children - version 2 to assess child hyperactivity, anxiety and depression at baseline, 1, 6 and 12 months post-injury...
July 9, 2018: Brain Injury: [BI]
Glenn Keays, Debbie Friedman, Isabelle Gagnon
OBJECTIVES: Increases of mild traumatic brain injuries in children have been reported in the USA and Ontario over the past decade. The main objective of this study is to calculate the pediatric rates of mild traumatic brain injury in Quebec, and our second objective is to compare them with those in Ontario. METHODS: Analysts from the Régie de l'Assurance Maladie du Québec (RAMQ, Quebec Health Insurance Board) compiled tables, by age and sex, of all medical services for mild traumatic brain injuries (concussions and minor head injuries) between 2003 and 2016...
February 2018: Canadian Journal of Public Health. Revue Canadienne de Santé Publique
Francisco Abecasis, Vitor Oliveira, Chiara Robba, Marek Czosnyka
PURPOSE: Transcranial Doppler (TCD) has been used for more than 30 years in clinical practice. Although adult intensive care is relatively well covered, pediatric cases are still underrepresented. We intend to review a series of pediatric cases where TCD was determinant in clinical decisions and a literature review on this topic. METHODS: We describe cases with different pathologies where TCD had an important role in clinical management of the patients. We discuss TCD utility and potential role both in the emergency department and the intensive care unit...
August 2018: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
Marie Holland, Christine Norman
This research explored staff perceptions of risk assessment and management of inappropriate sexual behaviour (ISB) displayed in patients following a Traumatic Brain Injury (TBI). The primary focus was to determine differences in perceptions between qualified (N = 40) and direct care staff (N = 47). Vignettes depicting ISB displayed by a male following a TBI were rated. The vignettes varied in behaviour (intimate versus non-contact) and age of the victim (child versus adult). Ratings for causal explanations (poor management, attention seeking, negative emotion and education), attributions (need for action and increase awareness) and emotions were analysed alongside risk assessment and management variables...
June 25, 2018: Neuropsychological Rehabilitation
Alolika Mondal, Prabhas Prasun Giri
Hypoventilation syndrome leading to Type 2 respiratory failure is not a rare cause of Pediatric Intensive Care Unit admission and mechanical ventilation. Common causes in pediatric population are Guillain-Barre syndrome and various central nervous system disorders such as encephalitis, traumatic brain injury, and drugs. Any injury or disease in the cervical cord can also produce respiratory paralysis causing respiratory failure. Here, we present two cases of mixed cerebral palsy with cervical myelopathy due to compression effect of fractured segments of first and second cervical vertebrae...
April 2018: Indian Journal of Critical Care Medicine
Valentina Pastore, Susanna Galbiati, Monica Recla, Katia Colombo, Elena Beretta, Sandra Strazzer
OBJECTIVE: To describe behavioural and adjustment problems in a group of 57 adolescents with severe traumatic brain injury (TBI) and compare them with a clinical group of peers with brain lesions of other origin (N = 33) and a control group of healthy adolescents (N = 48). METHODS: All subjects received an age-appropriate assessment, including the child behaviour checklist (CBCL) 4/18, the strengths and difficulties questionnaire (SDQ) and the vineland adaptive behaviour scales (VABS)...
2018: Brain Injury: [BI]
Charlotte Oris, Bruno Pereira, Julie Durif, Jeanne Simon-Pimmel, Christoph Castellani, Sergio Manzano, Vincent Sapin, Damien Bouvier
CONTEXT: The usefulness of S100B has been noted as a biomarker in the management of mild traumatic brain injury (mTBI) in adults. However, S100B efficacy as a biomarker in children has previously been relatively unclear. OBJECTIVE: A meta-analysis is conducted to assess the prognostic value of S100B in predicting intracerebral lesions in children after mTBI. DATA SOURCES: Medline, Embase, the Cochrane Central Register of Controlled Trials (CENTRAL), Web of Science, Scopus, and Google Scholar...
June 2018: Pediatrics
Michelle R Witt, Trevor F Stokes, Barry S Parsonson, Carol C Dudding
OBJECTIVE: To assess the effect of distance caregiver coaching on skill acquisition of a child with traumatic brain injury. Interactions between caregivers and persons with brain injury may play a critical role in the rehabilitation process, and coaching caregivers is one method that may foster more positive functional outcomes for the individual as caregiver skills may generalize across domains. METHOD: This study utilised a single-subject, multiple baseline across behaviours design to examine the effects of caregiver behaviours on skill acquisition by a child with a traumatic brain injury...
2018: Brain Injury: [BI]
Emily Evans, David Asuzu, Nathan E Cook, Paul Caruso, Elise Townsend, Beth Costine-Bartell, Carla Fortes-Monteiro, Gillian Hotz, Ann-Christine Duhaime
This study examined the relationship between acute neuroimaging, host and injury factors, and parent-reported traumatic brain injury (TBI)-related symptoms in children with noncritical head injury at two weeks and three months after injury. Data were collected prospectively on 45 subjects aged three to 16 years old enrolled in the Transforming Research and Clinical Knowledge in Traumatic Brain Injury (TRACK-TBI) study. Subjects had rapid recovery of mental status (Glasgow Coma Score [GCS] = 15 within 24 h), and had no clinical need for neurosurgical intervention...
June 29, 2018: Journal of Neurotrauma
Abrar Ahad Wani, Arif Hussain Sarmast, Muzaffar Ahangar, Nayil Khursheed Malik, Sarabjit Singh Chhibber, Sajad Hussain Arif, Altaf Umar Ramzan, Bashir Ahmed Dar, Zulfiqar Ali
Introduction: Traumatic brain injury (TBI) in children is a significant cause of morbidity and mortality worldwide. Falls are the most common type of injury, followed by motor vehicle-related accidents and child abuse. Aims and Objectives: The aim and objective of this study was to elucidate the various modes of injury, prognostic factors, complications, incidence of various modes of injury, and outcome in TBI in pediatric population. Materials and Methods: Patients with TBI, 18 years or less in age, managed in our Department of Neurosurgery, over a period of 2 years, were studied prospectively...
October 2017: Journal of Pediatric Neurosciences
Molly M Fuentes, Jin Wang, Juliet Haarbauer-Krupa, Keith Owen Yeates, Dennis Durbin, Mark R Zonfrillo, Kenneth M Jaffe, Nancy Temkin, David Tulsky, Hilary Bertisch, Frederick P Rivara
OBJECTIVES: In this study, we describe unmet service needs of children hospitalized for traumatic brain injury (TBI) during the first 2 years after injury and examine associations between child, family, and injury-related characteristics and unmet needs in 6 domains (physical therapy, occupational therapy, speech therapy, mental health services, educational services, and physiatry). METHODS: Prospective cohort study of children age 8 to 18 years old admitted to 6 hospitals with complicated mild or moderate to severe TBI...
May 2018: Pediatrics
Laurie Gutmann Kahn, Mark A Linden, Audrey McKinlay, Doug Gomez, Ann Glang
BACKGROUND: Educators lack understanding of traumatic brain injury (TBI), which can lead to a lack of appropriate assessment and intervention methods for these students. OBJECTIVE(S): This qualitative study explored what experienced teachers perceive, believe, and know about pediatric TBI. METHODS: Following development of a standardized interview protocol, 46 teachers from Australia, New Zealand, Northern Ireland, and the United States took part in semi-structured interviews...
2018: NeuroRehabilitation
Suzanne A M Lambregts, Frederike Van Markus-Doornbosch, Coriene E Catsman-Berrevoets, Monique A M Berger, Arend J De Kloet, Sander R Hilberink, Marij E Roebroeck
OBJECTIVE: To determine neurological outcome in children and youth with acquired brain injury (ABI) and explore associated factors. DESIGN: Cross-sectional study, two-years post-injury. PATIENTS: Hospital-based sample (n=112) aged 6-22 years. METHODS: Neurological outcome and participation were assessed with a multidimensional neurological examination and the Child and Adolescent Scale of Participation. Logistic regression analyses were used to explore the relationships...
April 13, 2018: Developmental Neurorehabilitation
Micah G Katz, Stephen J Fenton, Kathryn W Russell, Eric R Scaife, Scott S Short
PURPOSE: To examine surgical outcomes of children with pancreaticoduodenal injuries at a Quaternary Level I pediatric trauma center. METHODS: We queried a prospectively maintained trauma database of a level one pediatric trauma center for all cases of pancreatic and/or duodenal injury from 2002 to 2017. Analysis was conducted using JMP 13.1.0. RESULTS: 170 children presented with pancreatic and/or duodenal injury. 13 (7.7%) suffered a combined injury and this group forms the basis for this report with mean ISS of 22...
June 2018: Pediatric Surgery International
Aaron N Leetch, Bryan Wilson
Traumatic brain injury is a highly prevalent and devastating cause of morbidity and mortality in children. A rapid, stepwise approach to the traumatized child should proceed, addressing life-threatening problems first. Management focuses on preventing secondary injury from physiologic extremes such as hypoxemia, hypotension, prolonged hyperventilation, temperature extremes, and rapid changes in cerebral blood flow. Initial Glasgow Coma Score, hyperglycemia, and imaging are often prognostic of outcome. Surgically amenable lesions should be evacuated promptly...
May 2018: Emergency Medicine Clinics of North America
Megan E Narad, Megan Kennelly, Nanhua Zhang, Shari L Wade, Keith Owen Yeates, H Gerry Taylor, Jeffery N Epstein, Brad G Kurowski
Importance: After traumatic brain injury (TBI), children often experience impairment when faced with tasks and situations of increasing complexity. Studies have failed to consider the potential for attention problems to develop many years after TBI or factors that may predict the development of secondary attention-deficit/hyperactivity disorder (SADHD). Understanding these patterns will aid in timely identification of clinically significant problems and appropriate initiation of treatment with the hope of limiting additional functional impairment...
May 1, 2018: JAMA Pediatrics
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