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Le traumatisme crânien de l’enfant: troubles cognitifs et comportementaux

Childhood traumatic brain injury

  • Article de Synthèse
  • Published:
La Lettre de médecine physique et de réadaptation

Résumé

Le traumatisme crânien (TC) est une des premières causes de décès et de handicap durable chez l’enfant et demeure un important problème de santé publique. Les troubles cognitifs et comportementaux liés au TC peuvent n’apparaître ou ne devenir pleinement évidents qu’après un long délai, lorsque les fonctions cérébrales concernées sont censées être matures et fonctionnelles. Il est donc nécessaire de prévoir un suivi organisé et spécifique sur le très long terme des enfants traumatisés crâniens. Des prises en charge rééducatives et des adaptations scolaires doivent être mises en place, si nécessaire, pour éviter une cascade d’échecs cognitif, scolaire et social.

Abstract

Traumatic brain injury (TBI) is a leading cause of death and lifelong acquired disability in children and remains a significant issue for public health and rehabilitation. Cognitive and behavioural deficits may only become fully apparent when developmental demands increase and once cognitive processes are expected to be fully developed. It is therefore necessary to provide organised long-term specific care and follow-up for children post-TBI, regardless of injury severity. Specific rehabilitation must be provided, and schooling adapted when necessary, to avoid cognitive, academic and social failure.

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Authors and Affiliations

  1. Service de rééducation des pathologies neurologiques acquises de l’enfant, hôpital national de Saint-Maurice, 14, rue du Val d’Osne, F-94410, Saint-Maurice, France

    M. Chevignard, H. Toure, D. G. Brugel & A. Laurent-Vannier

  2. ER 6, Université Paris-VI Pierre-et-Marie-Curie, F-75252, Paris cedex 05, France

    M. Chevignard

  3. Centre de suivi et d’insertion pour enfants et adolescents avec lésion cérébrale acquise, hôpital national de Saint-Maurice, 14, rue du Val d’Osne, F-94410, Saint-Maurice, France

    H. Toure, D. G. Brugel & A. Laurent-Vannier

Authors
  1. M. Chevignard
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  2. H. Toure
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  3. D. G. Brugel
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  4. A. Laurent-Vannier
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Correspondence to M. Chevignard.

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Chevignard, M., Toure, H., Brugel, D.G. et al. Le traumatisme crânien de l’enfant: troubles cognitifs et comportementaux. Lett Med Phys Readapt 25, 79–87 (2009). https://doi.org/10.1007/s11659-009-0137-z

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  • DOI: https://doi.org/10.1007/s11659-009-0137-z

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