Head Injury in Children and Adolescents

This is a comprehensive framework for the care needed by children and their families following a traumatic brain injury.

From the Preface:

‘Traumatic brain injury in children and adolescents is a significant epidemiological and health problem in all countries of the world.  Severe brain injury forever alters the lives of affected children and their families. What has become clear is that there is also a ‘silent epidemic’ of mild head injury and that many children – for what is now recognized as the result of individual genetic differences and vulnerabilities of injury characteristics – are at risk for significant long-term cognitive and behavioural disabilities of varying severity. The future will hold promise for children who have had traumatic brain injury; neuroprotective strategies, advanced treatment in neurointensive settings and new rehabilitation approaches will all play a role in reducing disability. Preventive measures – with the regulatory and legislative strength of governments – hold the key to reduction in the incidence of traumatic brain injury.’

International Review of Child Neurology Series No. 9

AUTHORS’ APPOINTMENTS vii

PREFACE ix

Daune L. MacGregor.

PRESENTATION AND PATHOPHYSIOLOGY.

1. Acute Brain Injury: 1

Charles Matouk and Abhaya Kulkarni

2. Diagnostic Imaging 20

Helen M. Branson and Manohar Shroff

3 Mild Closed Head Injury 41

Shay Menascu and Daune L. MacGregor

TREATMENT.

4. Acute and Emergency Management 50

Charles Matouk, Jamie Hutchison, Anne-Marie Guerguerian and Abhaya

Kulkarni.

5. Comprehensive Multidisciplinary Rehabilitation 61

Peter Rumney

OUTCOMES

6. Overview of Outcomes 73

Peter Rumney

7. Neuropsychiatric Outcomes 88

Chanth Seyone, Babita Kara and Nicola Hunt

8. Sleep and Metabolism 112

Shelly Weiss, Rajesh Ramachandran Nair and Daune L. MacGregor

9. Neuropsychological Consequences 120

Erin M. Picard and Mary L. Stewart

10. Comunication Rehabilitation 153

Kim Bradley and Maya Kashida Rattray

11. Rehabilitation Therapy186

Janet Woodhouse and Trish Geisler

12. Educational Outcomes 222

Pamela Speed

FUTURE DIRECTIONS

Head Injury: Looking Towards the Future 248

Peter B. Dirks

INDEX 250