TY  - CHAP
M1  - Book, Section
TI  - Head Injury
A1  - Stevenson, Charles B.
A1  - Crone, Kerry R.
A2  - Ziegler, Moritz M.
A2  - Azizkhan, Richard G.
A2  - Allmen, Daniel von
A2  - Weber, Thomas R.
Y1  - 2014
N1  - 
T2  - Operative Pediatric Surgery, 2e
AB  - The  predominant  mechanism  of  head  injury  in  children  varies  with  age.  The  leading  cause  of  severe  head  injury  in  infants  is  nonaccidental,  or  inflicted,  trauma.The  physiologic  processes  resulting  from  acute  head  injury  are  divided  into  primary  brain  injury  and  secondary  brain  injury.Children  with  extensive  cerebral  shear  injury  on  admission  often  have  protracted  hospitalizations  with  permanent  neurologic  deficits  and  poor  functional  outcomes.Avoidance  of  systemic  hypotension,  hypercarbia,  hypoxemia,  hyperglycemia,  intracranial  hypertension,  and  seizure  activity  can  significantly  minimize  secondary  injury  following  moderate  or  severe  traumatic  brain  injury,  thereby  substantially  reducing  morbidity/mortality  and  improving  functional  outcomes.Children  with  a  post-resuscitation  GCS  of  ≤8  should  generally  undergo  continuous  ICP  monitoring  as  part  of  their  management.The  classic  triad  of  findings  in  children  with  inflicted  injury  includes  subdural  hematomas,  retinal  hemorrhages,  and  evidence  of  skeletal  injury.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/19
UR  - accesspediatrics.mhmedical.com/content.aspx?aid=1100438234
ER  -