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Praxis der Kinder- und Jugendtraumatologie pp 117–137Cite as

Schädel-Hirn-Trauma

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Zusammenfassung

Das Schädel-Hirn-Trauma (SHT) ist im Kindesalter eine sehr häufige Verletzung. Leichte SHT überwiegen hierbei und führen insbesondere bei kleinen Kindern oft zu einer Hospitalisation. Schwere SHT sind in den letzten Dekaden dank verbesserter Präventionsmaßnahmen (Rückhaltesysteme im Auto, Helme) deutlich seltener geworden. Die Letalität des SHT insgesamt ist bei Kindern niedrig, die Letalität des schweren SHT jedoch weiterhin hoch bei ca. 30% (Pfenninger u. Santi 2002).

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Literatur

  • Brenner DJ, Hall EJ (2007) Computed tomography: an increasing source of radiation exposure. N Engl J Med 357:2277–2284

    Article  PubMed  CAS  Google Scholar 

  • Carney NA, Chestnut R, Kochanek PM et al. (2003) Guidelines for the acute medical management of severe traumatic brain injuries in infants, children, and adolescents. Pediatr Crit Care Med Suppl 4: S1–S75

    Article  Google Scholar 

  • Chambers I, Jones P, Lo T et al. (2006) Critical thresholds of intracranial pressure and cerebral perfusion pressure related to age in paediatric head injury. J Neurol Neurosurg Psychiatry 77:234–240

    Article  PubMed  CAS  Google Scholar 

  • Cochran A, Scaife ER, Hansen KW, Downey EC (2003) Hypergycemia and outcomes from pediatric traumatic brain injury. J Trauma, 55:1035–1038

    Article  PubMed  Google Scholar 

  • Downard C, Hulka F, Mullins RJ, Piatt J, Chesnut R, Quint P, Mann NC (2000) Relationship of cerebral perfusion pressure and survival in pediatric head injured patients. J Trauma 49:654–658

    Article  PubMed  CAS  Google Scholar 

  • Grände P (2006) The »Lund« concept for the treatment of severe head trauma – physiological principles and clinical application. Intensive Care Med 27:2337–2345

    Google Scholar 

  • Haitsma IK, Maas AIR (2002) Advanced monitoring in the intensive care unit: brain tissue oxygen tension. Current Opinion in Critical Care 8:115–120

    Article  PubMed  Google Scholar 

  • Hutchinson JS, Wrad RE, Lacroix J, et al. (2008) Hypothermia therapy after traumatic brain injury in children. N Engl J Med 358:2447–2456

    Article  Google Scholar 

  • Jagannathan J, Okonkwo D, Dumont AS, Ahmed H, Bahari A, Prevedello DM, Jane JASr, Jane JA Jr (2007) Outcome following decompressive craniectomy in children with severe traumatic brain injury: a 10-year single center experience with long-term follow up. J Neurosurg (4 Suppl Pediatrics) 106:268–275

    Article  Google Scholar 

  • Khanna S, Davis D, Peterson B et al. (2000) Use of hypertonic saline in the treatment of severe refractory posttraumatic intracranial hypertension in pediatric traumatic brain injury. Crit Care Med 28:1144–1151

    Article  PubMed  CAS  Google Scholar 

  • Martin C, Falcone RA (2008) Pediatric traumatic brain injury: an update of research to understand and improve outcomes. Curr Opin Pediatr 20:294–299

    Article  PubMed  Google Scholar 

  • Pfenninger J, Santi A (2002) Severe traumatic brain injury in children – are the results improving? Swiss Med Wkly 132:116–120

    PubMed  Google Scholar 

  • Philip S, Udomphorn Y, Kirkham FJ, Vavilala MS (2009) Cerebrovascular pathophysiology in pediatric traumatic brain injury. J Trauma 67:S128–S134

    Article  PubMed  CAS  Google Scholar 

  • Potoka DA, Schall LC, Gardner MJ, Stafford PW, Peitzman AB, Ford HR (2000) Impact of pediatric trauma centers on mortality in a statewide system. J Trauma 49:237–45

    Article  PubMed  CAS  Google Scholar 

  • Rickels E, Von Wild KRH, Wenzlaff P, Bock W (2006) Schädel-Hirn-Verletzung - Epidemiologie und Versorgung. Zuckschwerdt, München

    Google Scholar 

  • Samant UB, Mack CD, Koepsell T, Rivara FP, Vavilala MS (2008) Time of hypotension and discharge outcome in children with severe traumatic brain injury. J Neurotrauma, 25:495–502

    Article  PubMed  Google Scholar 

  • Teasdale G, Jennett B (1974) Assessment of coma and impaired consciousness: a practical scale. Lancet 2:81–84

    Article  PubMed  CAS  Google Scholar 

  • Vernet O, Lutz N, Rilliet B (2004) Betreuung des kindlichen Schädelhirntraumas. Paediatrica 15:43–47

    Google Scholar 

  • Vincent JL, Berre J (2005) Primer on medical management of severe brain injury. Crit Care Med 33:1392–1399

    Article  PubMed  Google Scholar 

  • Willis AP, Latif SA, Chandratre S et al. (2008) Not a NICE CT protocol for the acutely head injured child. Clin Radiol 63:165–169

    Article  PubMed  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. Inselspital, Universitätsklinik für Kinderchirurgie, Freiburgstrasse 10, 3010, Bern, Schweiz

    PD Dr. med S. Berger

Authors
  1. PD Dr. med S. Berger
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Editor information

Editors and Affiliations

  1. Kinderchirurgische Klinik und Poliklinik im Dr. von Haunerschen Kinderspital, Klinikum der Universität München, Lindwurmstr. 4, 80337, München

    H. G. Dietz

  2. Klinik für Kinderchirurgie und Schwerbrandverletzte, Kinderkrankenhaus Park Schönfeld Klinikum Kassel, Frankfurter Str. 167, 34121, Kassel

    P. Illing

  3. Klinikum Karlsruhe, Kinderchirurgische Klinik, Moltkestr. 90, 76133, Karlsruhe

    P. P. Schmittenbecher

  4. Leitender Arzt Kindertraumatologie/Kinderchirurgie, Universitätsklinik für Kinderchirurgie, Inselspital, Freiburgstr. 10, 3010, Bern

    Th. Slongo M.D.

  5. Ltd. Arzt Abteilung für Kinderund Jugendtraumatologie, Altonaer Kinderkrankenhaus, Bleickenallee 38, 22763, Hamburg

    D. W. Sommerfeldt

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© 2011 Springer Medizin Verlag Heidelberg

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Berger, S. (2011). Schädel-Hirn-Trauma. In: Dietz, H.G., Illing, P., Schmittenbecher, P.P., Slongo, T., Sommerfeldt, D.W. (eds) Praxis der Kinder- und Jugendtraumatologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-12935-3_8

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  • DOI: https://doi.org/10.1007/978-3-642-12935-3_8

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-12934-6

  • Online ISBN: 978-3-642-12935-3

  • eBook Packages: Medicine (German Language)

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