Kerrigan Julia Morrow, Giza Christopher C
Department of Neurosurgery, UCLA Steve Tisch BrainSPORT Program, 300 Stein Plaza Driveway, Suite 562, Los Angeles, CA, 90095, USA.
Department of Neurosurgery and Pediatrics, UCLA Steve Tisch BrainSPORT Program, 300 Stein Plaza Driveway, Suite 562, Los Angeles, CA, 90095, USA.
Childs Nerv Syst. 2017 Oct;33(10):1669-1675. doi: 10.1007/s00381-017-3537-4. Epub 2017 Sep 6.
Concussion is a major public health issue that has received much publicity in recent years. Reported concussions are increasing across all ages, including the highest rates in pediatric age ranges. Due to the age-related physiological responses and differential recovery of symptoms after concussion, special consideration must be given to youth concussions. Concussion can affect each child differently and likely affects children differently than adults. Until the past decade, there has been a scarcity of scientifically rigorous studies examining concussions in children. This increasing amount of research and consensus has begun to influence the definition, evaluation, management, return to school and play recommendations, prevention, and education relating to pediatric concussion. The purpose of this article is a review of relevant research published in the last few years (2015-2017) with highlights of these updates summarized for clinical use.
脑震荡是一个重大的公共卫生问题,近年来受到了广泛关注。据报道,各年龄段的脑震荡病例都在增加,其中儿童年龄段的发病率最高。由于与年龄相关的生理反应以及脑震荡后症状的不同恢复情况,必须对青少年脑震荡给予特别关注。脑震荡对每个孩子的影响可能不同,而且对儿童的影响可能与成人不同。直到过去十年,针对儿童脑震荡进行科学严谨研究的数量还很稀少。越来越多的此类研究及共识已开始影响与小儿脑震荡相关的定义、评估、管理、重返学校和恢复运动建议、预防及教育。本文的目的是回顾过去几年(2015 - 2017年)发表的相关研究,并总结这些更新内容的要点以供临床使用。