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Related Concept Videos

Traumatic Brain Injury l: Introduction01:28

Traumatic Brain Injury l: Introduction

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DefinitionTraumatic brain injury, or TBI, is a disturbance of normal brain function induced by an external mechanical force, such as a direct blow to the head or a penetrating injury. It can affect both brain structure and function, producing a wide range of clinical outcomes. TBI is a heterogeneous condition, meaning its effects may differ based on the type, location, and severity of the injury.Basis of ClassificationTBI is classified based on severity, injury mechanism, or pathophysiology. In...
25

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Assessing Changes in Synaptic Plasticity Using an Awake Closed-Head Injury Model of Mild Traumatic Brain Injury
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Pediatric head trauma: abuse or not?

Nicholas C Richardson, David I Rappaport

    Hospital Pediatrics
    |December 10, 2013
    PubMed
    Summary

    A 4-month-old infant with a temporal skull fracture and bruising requires medical evaluation. Unexplained head injuries in infants necessitate careful assessment and consideration of non-accidental trauma.

    Area of Science:

    • Pediatrics
    • Emergency Medicine
    • Child Abuse Pediatrics

    Background:

    • Infants are vulnerable to head trauma.
    • Unexplained injuries in young children raise concerns for non-accidental trauma.

    Observation:

    • A 4-month-old infant presented with an unwitnessed temporal skull fracture after a fall.
    • The infant exhibited bruising, vomiting, and somnolence but was neurologically intact.
    • Head CT and skeletal survey showed no additional intracranial or skeletal injuries.

    Findings:

    • The isolated temporal skull fracture in an infant warrants thorough investigation.
    • The absence of other injuries does not exclude abusive head trauma.

    Implications:

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  • Physicians must carefully evaluate the mechanism of injury in young children with fractures.
  • Child protective services involvement is crucial for assessing potential abuse and ensuring child safety.
  • Differentiating accidental falls from inflicted injuries is critical in pediatric practice.