Pediatric traumatic brain injury : a brainteaser ?
Keywords:Craniocerebral Trauma, Brain injuries, Critical care, Intracranial hypertension, Pediatrics
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.