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Pediatric Traumatic Brain Injury and Concussion
Insights
This review covers mild traumatic brain injury (TBI) and concussion in children, offering evidence-based strategies for assessment and management. It addresses typical recovery and persistent postconcussion syndrome, emphasizing avoiding prolonged rest.
Area of Science:
- Pediatric Neurology
- Sports Medicine
- Neurotrauma
Background:
- Mild traumatic brain injury (TBI) and concussion are common in children.
- Understanding the impact and complications is crucial for appropriate care.
- Recent evidence guides assessment and early management.
Purpose Of Review:
This article summarizes the impact and complications of mild traumatic brain injury and concussion in children and outlines the recent evidence for its assessment and early management. Useful evidence-based management strategies are provided for children who have a typical recovery following concussion as well as for those who have persistent postconcussion syndrome. Cases are used to demonstrate the commonly encountered pathologies of headache, cognitive issues, and mood disturbances following injury.
Recent Findings:
A clinical risk score using risk factors for poor recovery (eg, female sex, adolescence, previous migraine, and a high degree of acute symptoms) can be used to help the clinician plan follow-up in the community. Prolonged periods of physical and cognitive rest should be avoided. Multidisciplinary treatment plans are often required in the management of persistent postconcussion syndrome.
Summary:
A paucity of research exists for the treatment of postconcussion syndrome. Current treatments target individual symptoms.
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