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Pediatric Neurosurgery pp 415–459Cite as

Trauma

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Abstract

The management of craniocerebral trauma in the child is, in contrast to the adult, more dependent upon clinical neurological evaluation, fastidious observation and monitoring of neurological and vital signs, and the timely use of diagnostic procedures. The significance of the neurological evaluation, comparison of the Children’s Coma Score (CCS) to the Glasgow Coma Score (GCS), and the discussion of the Children’s Outcome Scale (COS) are presented in this text. The parameters to be observed during the stay on the pediatric neurosurgical floor, or in the pediatric neurointensive care units, are also presented. The same applies for the diagnostic studies, although it is essential at this time for one to review and to analyze critically the diagnostic studies that should be ordered and the value to be attributed to them in the decision-making process: when to operate and what operation to perform.

Article Note

“And yet a mysterious light seemed to show me his boyish head, as if in that moment the youth within him had, for a moment, gleamed and expired.”

Joseph Conrad, Lord Jim

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    Anthony J. Raimondi M.D.

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© 1998 Springer-Verlag Berlin Heidelberg

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Raimondi, A.J. (1998). Trauma. In: Pediatric Neurosurgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-58827-3_13

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  • DOI: https://doi.org/10.1007/978-3-642-58827-3_13

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