title: Pediatric Traumatic Brain Injury: Characteristic Features, Diagnosis, and Management.
abstract: Traumatic brain injury (TBI) is the leading cause of death and disability in children. Pediatric TBI is associated with several distinctive characteristics that differ from adults and are attributable to age-related anatomical and physiological differences, pattern of injuries based on the physical ability of the child, and difficulty in neurological evaluation in children. Evidence suggests that children exhibit a specific pathological response to TBI with distinct accompanying neurological symptoms, and considerable efforts have been made to elucidate their pathophysiology. In addition, recent technical advances in diagnostic imaging of pediatric TBI has facilitated accurate diagnosis, appropriate treatment, prevention of complications, and helped predict long-term outcomes. Here a review of recent studies relevant to important issues in pediatric TBI is presented, and recent specific topics are also discussed. This review provides important updates on the pathophysiology, diagnosis, and age-appropriate acute management of pediatric TBI.
authors.affiliation: Department of Emergency and Critical Care Medicine, Nippon Medical School Hospital.
authors.forename: Takashi
authors.initials: T
authors.lastname: Araki
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Yokota
authors.forename: Akio
authors.initials: A
authors.lastname: Morita
mesh_terms: D000293:Adolescent; D000367:Age Factors; D000070642:Brain Injuries, Traumatic / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007223:Infant; D007231:Infant, Newborn