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Pediatric and Geriatric Considerations

Sarah Danehower1, Konrad Walek1, Emily P Sieg1

  • 1Department of Neurological Surgery, University of Louisville Health, Louisville, KY, USA.

Neurosurgery Clinics of North America
|April 12, 2026
PubMed

Insights

Traumatic brain injury (TBI) care requires tailored approaches for pediatric and geriatric patients, addressing risks like infection and syndrome of the trephined throughout treatment and rehabilitation.

Area of Science:

  • Neuroscience
  • Gerontology
  • Pediatrics

Background:

  • Traumatic brain injury (TBI) necessitates age-specific management strategies.
  • Pediatric and geriatric populations exhibit unique vulnerabilities and risks post-TBI.

Purpose of the Study:

  • To highlight the critical need for age-tailored considerations in pediatric and geriatric TBI care.
  • To identify key research areas for improving TBI outcomes in these demographics.

Main Methods:

  • Review of age-specific challenges in TBI management.
  • Identification of risk factors and critical research gaps.

Main Results:

  • Both pediatric and geriatric TBI patients face increased risks of infection and syndrome of the trephined.
  • Age-specific considerations are crucial from preoperative assessment through rehabilitation.

Conclusions:

  • Tailored preoperative, intraoperative, and postoperative care is essential for pediatric and geriatric TBI patients.
  • Further research is needed on long-term outcomes, biomarkers, rehabilitation timing, and socioeconomic disparities in TBI.

Keywords:
Decompressive hemicraniectomyFrailty in TBIGeriatric TBIPediatric TBI

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