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Pediatric Traumatic Brain Injury and Associated Topics: An Overview of Abusive Head Trauma, Nonaccidental Trauma, and

Erik B Smith1, Jennifer K Lee1, Monica S Vavilala2

  • 1Department of Anesthesiology and Critical Care Medicine, Division of Pediatric Anesthesiology, Johns Hopkins University, 1800 Orleans Street, Baltimore, MD 21287, USA.

Anesthesiology Clinics
|February 4, 2019
PubMed

Insights

Pediatric traumatic brain injury (TBI) includes abusive head trauma (AHT) in infants and sports concussions in older children. Current management uses general TBI guidelines, but specific research is ongoing.

Area of Science:

  • Pediatric Neurology
  • Trauma Surgery
  • Sports Medicine

Background:

  • Pediatric traumatic brain injury (TBI) presents unique challenges.
  • Abusive head trauma (AHT) is a severe form affecting infants.
  • Sports-related concussions are milder TBIs in older children.

Purpose of the Study:

  • To review the epidemiology, mechanisms, clinical signs, and management of AHT and sports concussions.
  • To highlight the current reliance on general pediatric TBI guidelines.
  • To underscore the need for specific pediatric TBI research.

Main Methods:

  • Literature review of pediatric TBI, AHT, and sports concussions.
  • Analysis of epidemiological data and clinical presentations.
  • Examination of current perioperative management strategies.

Main Results:

  • AHT and sports concussions are distinct forms of pediatric TBI.
  • Existing management protocols are based on general TBI guidelines.
  • Specific screening and management goals for pediatric TBI require further investigation.

Conclusions:

  • Understanding the nuances of AHT and sports concussions is crucial for effective pediatric TBI care.
  • Development of tailored management strategies is warranted.
  • Continued research is essential for advancing pediatric TBI care.

Keywords:
Brain injuriesChild abuseConcussionMild traumatic brain injuryPreoperative evaluationSCAT-3Sports-related head injury

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