Controversy
Current controversies in the management of minor pediatric head injuries

https://doi.org/10.1016/S0735-6757(00)90060-3Get rights and content

Abstract

Each year hundreds of thousands of children receive care in emergency departments after head injury. Minor head injuries account for a majority of these injuries. The prevalence, morbidity, and costs associated with pediatric minor head injuries make it an important topic. We review the management of pediatric minor head injury, emphasizing current areas of controversy, including criteria for neuroimaging, indications for hospitalization, the role of anticonvulsant therapy, and the long-term neurobehavioral sequelae of pediatric minor head injury.

References (74)

  • M Pietrzak et al.

    Evaluation of minor head trauma in children younger than two years

    Am J Emerg Med

    (1991)
  • RJ Lewis et al.

    Clinical predictors of post-traumatic seizures in children with head trauma

    Ann Emerg Med

    (1993)
  • JF Kraus et al.

    Brain injuries among infants, children, adolescents, and young adults

    Am J Dis Child

    (1990)
  • Division of Injury Control, Center for Environmental Health and Injury Control

    Centers for Disease Control: Childhood injuries in the United States

    Am J Dis Child

    (1990)
  • JF Kraus et al.

    Incidence, severity, and external causes of pediatric brain injury

    Am J Dis Child

    (1986)
  • N Ceviker et al.

    Moderate head injuries in children as compared to other age groups, including the cases who had talked and deteriorated

    Acta Neurochir

    (1995)
  • MY Kibby et al.

    Minor head injury: Attempts at clarifying the confusion

    Brain Injury

    (1996)
  • JD Miller et al.

    Further experience in the management of severe head injury

    J Neurosurg

    (1981)
  • F Rivara et al.

    Poor prediction of positive computed tomographic scans by clinical criteria in symptomatic pediatric head trauma

    Pediatrics

    (1987)
  • JM Seelig et al.

    Traumatic acute subdural hematoma

    N Eng J Med

    (1981)
  • S Paterniti et al.

    Extradural haematoma

    Acta Neurochir

    (1994)
  • MA Croce et al.

    Acute subdural hematoma: Nonsurgical management of selected patients

    J Trauma

    (1994)
  • JD Miller et al.

    Extradural hematoma-earlier detection, better results

    Brain Injury

    (1988)
  • AP Bricolo et al.

    Extradural hematoma

    Toward zero mortality. A prospective study

    Neurosurgery

    (1984)
  • F Servadei et al.

    Extradural haematomas: An analysis of the changing characteristics of patients admitted from 1980–1986

    Diagnostic and therapeutic implications in 158 cases

    Brain Injury

    (1988)
  • R Lende et al.

    Growing skull fractures in childhood

    J Neurosurg

    (1961)
  • Naim-Ur-Rahman et al.

    Growing skull fractures: Classification and management

    Br J Neurosurg

    (1994)
  • P Steinbok et al.

    Management of simple depressed skull fractures in children

    J Neurosurg

    (1987)
  • JD Miller et al.

    Complications of depressed skull fracture

    Lancet

    (1969)
  • C Mauritz Van Den Heever et al.

    Management of depressed skull fractures

    J Neurosurg

    (1989)
  • JF Annegers et al.

    Seizures after head trauma: A population study

    Neurology

    (1980)
  • YS Hahn et al.

    Risk factors in the outcome of children with minor head injury

    Pediatr Neurosurg

    (1993)
  • ST Lee et al.

    Relative risk of deterioration after mild closed head injury

    Acta Neurochir

    (1995)
  • GM Teasdale et al.

    Risks of acute traumatic intracranial hematoma in children and adults: Implications for managing head injuries

    Br Med J

    (1990)
  • SC Stein et al.

    Mild head injury: A plea for routine early CT scanning

    J Trauma

    (1992)
  • BD Jordan et al.

    Computed tomography and magnetic resonance imaging comparisons in boxers

    JAMA

    (1990)
  • RB Snow et al.

    Comparison of magnetic resonance imaging and computed tomography in the evaluation of head injury

    Neurosurgery

    (1986)

    • Cited by (0)

    View full text
    Copyright © 2000 Published by Elsevier Inc.