Citation

Smith EB, Lee JK, Vavilala MS, Lee SA. Anesthesiol. Clin. 2019; 37(1): 119-134.

Affiliation

Department of Anesthesiology, University of Washington, Harborview Medical Center, 325 Ninth Avenue, Seattle, WA 98104, USA.

Copyright

(Copyright © 2019, Elsevier Publishing)

DOI

10.1016/j.anclin.2018.10.002

PMID

30711225

Abstract

Pediatric traumatic brain injury (TBI) uniquely affects the pediatric population. Abusive head trauma (AHT) is a subset of severe pediatric TBI usually affecting children in the first year of life. AHT is a form of nonaccidental trauma. Sports-related TBI resulting in concussion is a milder form of TBI affecting older children. Current recommended perioperative management of AHT and sports concussions relies on general pediatric TBI guidelines. Research into more specific pediatric TBI screening and management goals is ongoing. This article reviews the epidemiology, mechanisms, clinical signs, and management of AHT and sports-related concussions.

Copyright © 2018 Elsevier Inc. All rights reserved.

Language: en

Keywords

Brain injuries; Child abuse; Concussion; Mild traumatic brain injury; Preoperative evaluation; SCAT-3; Sports-related head injury