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Updated: Jul 18, 2026
Assessing Changes in Synaptic Plasticity Using an Awake Closed-Head Injury Model of Mild Traumatic Brain Injury
Published on: January 20, 2023
[Emergency ward management of traumatic head injury in children]
1Kinderchirurgische Klinik, Charité-Universitätsmedizin Berlin, Campus-Virchow-Klinikum, Augustenburger Platz 1, 13353 Berlin, Germany. b.fischer@charite.de
Insights
No direct correlation exists between skull fractures or symptoms and intracranial injury in pediatric traumatic head injury (THI). Cranial CT is the preferred imaging for THI management in children.
Area of Science:
- Pediatric Traumatology
- Neuroradiology
- Emergency Medicine
Context:
- Traumatic head injury (THI) in children presents diagnostic challenges.
- Current assessment and management protocols for pediatric THI are debated.
- Evaluating diagnostic imaging utility in pediatric head injuries is crucial.
Purpose:
- To investigate the correlation between skull fracture/clinical symptoms and intracranial lesions in pediatric THI.
- To determine the efficacy of various radiological methods in the initial management of pediatric THI.
- To develop an evidence-based management plan for pediatric head and brain injuries.
Summary:
- A study of 1,637 pediatric THI cases found no significant correlation between skull fracture or clinical symptoms and intracranial injury.
- Risk factors for intracranial injury in pediatric THI were identified.
- Cranial computed tomography (CT) is the primary imaging modality for pediatric THI; X-ray, ultrasound, and MRI have limited, specific indications.
Impact:
- Provides a refined management plan for pediatric head and brain injuries in emergency settings.
- Highlights the crucial role of cranial CT in diagnosing pediatric THI.
- Informs clinical decision-making regarding the use of different radiological diagnostic methods.
Background:
The controversial situation relating to assessment and management of the traumatic head injury (THI) in children inspired us to study our own patient pool. The aims were to find a significant correlation between skull fracture or clinical symptom and intracranial lesion as well as to determine the importance of each radiological diagnostic method in the initial management of the pediatric THI.
Patients And Methods:
In 1 year 1,637 children had been treated in the emergency room of pediatric surgery with the diagnosis of THI. Age, sex, injury pattern, symptoms, radiological diagnostic methods, diagnosis, and clinical follow-up had been registered.
Results:
A significant correlation between skull fracture or clinical symptom and the intracranial injury in children could not be found, but risk factors exist. Cranial computed tomography is the imaging method of choice. X-ray, ultrasound, and MRI of the head are reserved for a few indications.
Conclusion:
A management plan for pediatric head and brain injury in the emergency room based on our own and published international results is introduced.
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Assessment:
1. Clinical Evaluation:
History: