Predictors of Outcome following Traumatic Brain Injury in Young Children

Prasad, Mary R.; Ewing‐Cobbs, Linda; Swank, Paul R.; Kramer, Larry A.

doi:10.1159/000048355

Cited by 97 publications

(73 citation statements)

References 27 publications

(64 reference statements)

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“…33,34 One other study recently found age not to be predictive of outcome in young children, and here the authors comment that their findings are "contrary to expectations." 35 A larger study is required to confirm our findings that age does not seem to influence outcome within the subpopulation of inflicted TBI. A major determinant of outcome in young children is the cause of the TBI.…”

Section: E182mentioning

confidence: 61%

“…A major determinant of outcome in young children is the cause of the TBI. 35 It is not surprising that the external evidence of impact did not correlate with outcome as it is acknowledged that external evidence of impact does not determine that impact did not occur. 36 The main factors that did correlate with outcome were the severity of injury as assessed by the PTS and the GCS.…”

Section: E182mentioning

confidence: 99%

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Late Neurologic and Cognitive Sequelae of Inflicted Traumatic Brain Injury in Infancy

Barlow

Thomson

Johnson³

et al. 2005

Pediatrics

301

175

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ABSTRACT.Objective. There is limited information regarding the long-term outcome of inflicted traumatic brain injury (TBI), including shaken infant syndrome. The purpose of this study was to describe the long-term neurologic, behavioral, and cognitive sequelae seen in this population.Methods. A cross-sectional and prospective longitudinal study was conducted of 25 children with inflicted TBI in Scotland between 1980 and 1999. After consent was obtained, neurologic and cognitive examinations were performed on all participants and sequentially in the prospective cohort. Two global outcome measures were used: Glasgow Outcome Score (GOS) and Seshia's outcome score. Cognitive outcome was assessed using the Bayley Scales of Infant Development, British Ability Scales, and the Vineland Adaptive Behavior Scales.Results. The mean length of follow-up was 59 months. A total of 68% of survivors were abnormal on follow-up, 36% had severe difficulties and were totally dependant, 16% had moderate difficulties, and 16% had mild difficulties on follow-up. A wide range of neurologic sequelae were seen, including motor deficits (60%), visual deficits (48%), epilepsy (20%), speech and language abnormalities (64%), and behavioral problems (52%). There was a wide range of cognitive abilities: the mean psychomotor index, 69.9 (SD: ؎25.

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Section: E182mentioning

confidence: 61%

Section: E182mentioning

confidence: 99%

Late Neurologic and Cognitive Sequelae of Inflicted Traumatic Brain Injury in Infancy

Barlow

Thomson

Johnson³

et al. 2005

Pediatrics

301

175

View full text Add to dashboard Cite

show abstract

“…In addition, persistent neurologic damage was found to be related to younger age, prolongation of consciousness state, child trauma score and Glaskow coma score, subdural hemorrhage, decreased pressure in the brain/decreased intravascular pressure and presence of brain edema (16,53,56).…”

Section: Prognosismentioning

confidence: 99%

Sarsılmış bebek sendromu ve önleme programları

...

2012

Tpa

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Review Sum maryShaken Baby Syndrome often occurs after shaking in response to crying bouts of infants; which are a source of frustration and anger for parents. It results in serious health problems in the infants such as intracranial and retinal bleeding, brain injury and even death. The syndrome can be prevented by providing training to parents, especially in the early postnatal period and increasing awareness about the dangers of shaking. This review aims to draw attention to shaken baby syndrome which is largely unrecognized in our country and to emphasize the importance of the prevention programs. (Turk Arch Ped 2012; 47: 150-156)

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“…22 In 1972 while addressing the issue of prevention Caffey wrote 41 : "Hark ye, good parents, to my words true and plain, Box 1: Key principles in emergency management of the unconscious infant when the cause is unknown…”

Section: Outcome and Preventionmentioning

confidence: 99%

Shaken baby syndrome

Blumenthal

2002

Postgraduate Medical Journal

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Shaken baby syndrome is the most common cause of death or serious neurological injury resulting from child abuse. It is specific to infancy, when children have unique anatomic features. Subdural and retinal haemorrhages are markers of shaking injury. An American radiologist, John Caffey, coined the name whiplash shaken infant syndrome in 1974. It was, however, a British neurosurgeon, Guthkelch who first described shaking as the cause of subdural haemorrhage in infants. Impact was later thought to play a major part in the causation of brain damage. Recently improved neuropathology and imaging techniques have established the cause of brain injury as hypoxic ischaemic encephalopathy. Diffusion weighted magnetic resonance imaging is the most sensitive and specific method of confirming a shaking injury. Families of children with subdural haemorrhages should be thoroughly investigated by social welfare agencies.

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Predictors of Outcome following Traumatic Brain Injury in Young Children

Cited by 97 publications

References 27 publications

Late Neurologic and Cognitive Sequelae of Inflicted Traumatic Brain Injury in Infancy

Late Neurologic and Cognitive Sequelae of Inflicted Traumatic Brain Injury in Infancy

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Shaken baby syndrome

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