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Textbook of Pediatric Neurosurgery pp 1–30Cite as

Accidental Head Traumas

  • Living reference work entry
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Abstract

The human brain is likely the most complex and delicate machine that is currently known. With this in mind, one might imagine that attempting to care for such a machine after it was haphazardly broken – whether as a result of an automobile accident or a penetrating missile or a fall onto a hard surface or any of the number of potential mechanisms – would be quite challenging. To make matters more complex, the other organs supporting the brain may have significant dysfunction that can lead to alterations in brain functioning. And lastly, imagine that the brain is actively growing and developing from the immature state of infancy into the more mature state of the older adolescent. For these reasons, traumatic brain injury (TBI) is one of the more challenging conditions encountered by pediatric neurosurgeons and other caregivers. This review will focus almost entirely on the most severely injured children – as these children are at highest risk for mortality and long-term disabilities and these children are a mainstay of pediatric neurosurgical practice around the world. While the role of more minor injuries has been increasingly recognized and these children may also come to the attention of neurosurgeons, this review will focus on the epidemiology, resuscitation, medical and surgical management of children with severe TBI. Lastly, this review will not focus on the topic of abusive head trauma in childhood.

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Author information

Authors and Affiliations

  1. Department of Critical Care Medicine, Children’s Hospital of Pittsburgh of UPMC, Pittsburgh, PA, USA

    Jessica S. Wallisch & Michael J. Bell

  2. Department of Pediatrics, Children’s Hospital of Pittsburgh of UPMC, Pittsburgh, PA, USA

    Michael J. Bell

  3. Department of Neurological Surgery, Children’s Hospital of Pittsburgh of UPMC, Pittsburgh, PA, USA

    Michael J. Bell

  4. Safar Center for Resuscitation Research, University of Pittsburgh, Pittsburgh, PA, USA

    Jessica S. Wallisch & Michael J. Bell

  5. Department of Neurosurgery, University of New Mexico, Albuquerque, NM, USA

    Kimberly Foster

  6. School of Medicine, University of Pittsburgh, 3434 Fifth Avenue, Pittsburgh, PA, 15260, USA

    Michael J. Bell

  7. Children’s National Health System, Washington, DC, USA

    Michael J. Bell

Authors
  1. Jessica S. Wallisch
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  2. Michael J. Bell
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  3. Kimberly Foster
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Corresponding author

Correspondence to Michael J. Bell .

Editor information

Editors and Affiliations

  1. International Neuroscience Institute, Hannover, Germany

    Concezio Di Rocco

  2. Oakland Medical Center, Oakland, California, USA

    Dachling Pang

  3. University of Toronto Hospital for Sick Children, Toronto, Ontario, Canada

    James T. Rutka

Section Editor information

  1. Director of Pediatric Neurosurgery, International Neuroscience Institute, Hannover, Germany

    Concezio Di Rocco

  2. The Division of Neurosurgery, University of Cape Town, Cape Town, South Africa

    Anthony Figaji,

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Wallisch, J.S., Bell, M.J., Foster, K. (2017). Accidental Head Traumas. In: Di Rocco, C., Pang, D., Rutka, J. (eds) Textbook of Pediatric Neurosurgery. Springer, Cham. https://doi.org/10.1007/978-3-319-31512-6_147-1

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  • DOI: https://doi.org/10.1007/978-3-319-31512-6_147-1

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