Pediatric traumatic brain injury : a brainteaser ?

Authors

  • Sidonie Hanna Réanimation et Surveillance continue médico-chirurgicale pédiatrique, Hôpital Armand-Trousseau, Assistance Publique–Hôpitaux de Paris (AP–HP), 26 avenue du Dr Arnold-Netter, 75571 Paris Cedex 12, France
  • Léo Berger Réanimation et Surveillance continue médico-chirurgicale pédiatrique, Hôpital Armand-Trousseau, Assistance Publique–Hôpitaux de Paris (AP–HP), 26 avenue du Dr Arnold-Netter, 75571 Paris Cedex 12, France
  • Diane Margoses Réanimation et Surveillance continue médico-chirurgicale pédiatrique, Hôpital Armand-Trousseau, Assistance Publique–Hôpitaux de Paris (AP–HP), 26 avenue du Dr Arnold-Netter, 75571 Paris Cedex 12, France
  • Alice Marsaux Réanimation et Surveillance continue médico-chirurgicale pédiatrique, Hôpital Armand-Trousseau, Assistance Publique–Hôpitaux de Paris (AP–HP), 26 avenue du Dr Arnold-Netter, 75571 Paris Cedex 12, France
  • Louise Othoniel Réanimation et Surveillance continue médico-chirurgicale pédiatrique, Hôpital Armand-Trousseau, Assistance Publique–Hôpitaux de Paris (AP–HP), 26 avenue du Dr Arnold-Netter, 75571 Paris Cedex 12, France
  • Violette Suc Réanimation et Surveillance continue médico-chirurgicale pédiatrique, Hôpital Armand-Trousseau, Assistance Publique–Hôpitaux de Paris (AP–HP), 26 avenue du Dr Arnold-Netter, 75571 Paris Cedex 12, France
  • Alice Capel Réanimation et Surveillance continue médico-chirurgicale pédiatrique, Hôpital Armand-Trousseau, Assistance Publique–Hôpitaux de Paris (AP–HP), 26 avenue du Dr Arnold-Netter, 75571 Paris Cedex 12, France
  • Camille Guilbaud Réanimation et Surveillance continue médico-chirurgicale pédiatrique, Hôpital Armand-Trousseau, Assistance Publique–Hôpitaux de Paris (AP–HP), 26 avenue du Dr Arnold-Netter, 75571 Paris Cedex 12, France
  • Anne Lecoutour Réanimation et Surveillance continue médico-chirurgicale pédiatrique, Hôpital Armand-Trousseau, Assistance Publique–Hôpitaux de Paris (AP–HP), 26 avenue du Dr Arnold-Netter, 75571 Paris Cedex 12, France
  • Élodie Verdier Réanimation et Surveillance continue médico-chirurgicale pédiatrique, Hôpital Armand-Trousseau, Assistance Publique–Hôpitaux de Paris (AP–HP), 26 avenue du Dr Arnold-Netter, 75571 Paris Cedex 12, France
  • Gaëlle Vermillac Réanimation et Surveillance continue médico-chirurgicale pédiatrique, Hôpital Armand-Trousseau, Assistance Publique–Hôpitaux de Paris (AP–HP), 26 avenue du Dr Arnold-Netter, 75571 Paris Cedex 12, France
  • Pierre-Louis Léger Réanimation et Surveillance continue médico-chirurgicale pédiatrique, Hôpital Armand-Trousseau, Assistance Publique–Hôpitaux de Paris (AP–HP), 26 avenue du Dr Arnold-Netter, 75571 Paris Cedex 12, France

DOI:

https://doi.org/10.37051/mir-00120

Keywords:

Craniocerebral Trauma, Brain injuries, Critical care, Intracranial hypertension, Pediatrics

Abstract

Pediatric head trauma stands as one of the major public health issues, both in its frequency and potential severity. Many authors and multiple guidelines have proposed decision rules for children with head injuries, with the common goal of quickly recognizing
the clinical and CT scan severity criteria that lead to the suspicion of irreversible brain injuries. Accurate management of severe traumatic brain injury begins in the prehospital phase, with effective neuroprotective measures and optimal control of secondary brain injury factors of systemic origin, respecting the law of "everything normal". In pediatric neuro-intensive care, it then seems necessary to understand the parameters influencing cerebral blood flow and ensure their appropriate monitoring, to reduce intracranial hypertension. The remote onset of cognitive-behavioral sequelae disorders makes the follow-up of these children mandatory in the long term.

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Published

2022-11-08

How to Cite

Hanna, S., Berger, L., Margoses, D., Marsaux, A., Othoniel, L., Suc, V., Capel, A., Guilbaud, C., Lecoutour, A., Verdier, Élodie, Vermillac, G., & Léger, P.-L. (2022). Pediatric traumatic brain injury : a brainteaser ?. Médecine Intensive Réanimation. https://doi.org/10.37051/mir-00120

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