Neurosurgical Review

, Volume 9, Issue 1, pp 135–139

Minor, moderate and severe head injury

  • J. Douglas Miller
Traumatic disorders of the nervous system

DOI: 10.1007/BF01743065

Cite this article as:
Miller, J.D. Neurosurg. Rev. (1986) 9: 135. doi:10.1007/BF01743065


The future role of the neurosurgeon in the management of head injury is reviewed in terms of the care of patients with minor, moderate and severe head injuries. In minor head injury it is predicted that there will be increasing pressure on the neurosurgeon to undertake the management and follow-up of all patients who have sustained head injury, and this will place a considerable additional load on each neurosurgical unit. This is based on a survey of 1919 head injuries admitted in one calendar year (1981), consisting of 93 severe injuries (GCS < 8), 210 moderate injuries (GCS 8–12), and 1616 minor injuries (GCS 13/14). In moderate injuries CT will assume a major role in detecting hematoma early and identifying contusions. There may yet be a role for steroids in these cases and there should be a greater use of neurorehabilitation, instead of the current overemphasis on the severely injured. In severe injury future efforts will be to prevent early secondary insults and to find better methods of controlling raised intracranial pressure.


Head injury minor moderate severe morbidity mortality 

Copyright information

© Walter de Gruyter & Co. 1986

Authors and Affiliations

  • J. Douglas Miller
    • 1
  1. 1.Department of Surgical NeurologyUniversity of Edinburgh, Western General HospitalEdinburghScotland, U.K.

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