[Severe head injuries in neonates and infants: physiopathological and therapeutic aspects].
Severe head injuries in infants have specific circumstances such as obstetrical injury, battered infant, shaken infant. Pediatric scales must be used for neurological evaluation, the Bicêtre scale being a sensitive index of clinical course. Transfontanellar ultrasound can be useful as first line tool of evaluation of brain injury, but computerized tomography scan is necessary to correctly assess the brain lesions and the presence of hematoma. Hemorragic lesions can rapidly lead to hypovolemic state which must be prevented, or treated without delay. Treatment requires hemodynamics and hydroelectrolytic support, measures to control intracranial hypertension, sedation, and neurosurgical intervention according to the hemorragic lesions.
Giroux
J D
JD
Néonatologie-maternité et réanimation pédiatrique, CHU Morvan, Brest, France.
Finel
E
E
Soupre
D
D
Sizun
J
J
Alix
D
D
de Parscau
L
L
D006259:Craniocerebral Trauma / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology* / Q000628:therapy*; D006439:Hemodynamics; D006801:Humans; D006993:Hypnotics and Sedatives / Q000627:therapeutic use; D007223:Infant; D007231:Infant, Newborn; D011559:Pseudotumor Cerebri / Q000209:etiology / Q000628:therapy
D006993:Hypnotics and Sedatives
Traumatismes crâniens graves du nouveau-né et du nourrisson: particularités physiopathologiques et thérapeutiques.