Division of Pediatric Neurology, Department of Pediatrics, Boston Medical Center, Boston, Massachusetts.
Division of Child Psychiatry, Department of Psychiatry, Boston Medical Center, Boston, Massachusetts.
Semin Neurol. 2021 Apr;41(2):132-146. doi: 10.1055/s-0041-1725135. Epub 2021 Mar 3.
Traumatic brain injury (TBI) is common in children. The evaluation and management of children with TBI is based on the research performed in adults. There is a relative paucity of research in the literature involving children and many of the practice recommendations for this age are based on expert opinion in the absence of good research studies in both sports and non-sports-related injuries. The pediatric population is heterogeneous and the approach might be specific for infants, preschoolers, school age children, and adolescents. Children may also suffer from neurodevelopmental disabilities, making their evaluation even more challenging. Adult neurologists are often asked to see children due to increasing demands. This review will focus on specific issues related to TBI in children that might be useful to adult neurologists. Science, however, is evolving rapidly and physicians should make sure to remain up to date to offer evidence-based services to their patients.
创伤性脑损伤（TBI）在儿童中较为常见。儿童 TBI 的评估和管理基于对成年人的研究。在涉及儿童的文献中，相关研究相对较少，许多针对该年龄段的实践建议都是基于专家意见，因为在运动和非运动相关损伤方面都缺乏良好的研究。儿科人群存在异质性，其治疗方法可能针对婴儿、学龄前儿童、学龄儿童和青少年有所不同。儿童还可能患有神经发育障碍，这使得评估更加具有挑战性。由于需求不断增加，成人神经科医生经常被要求诊治儿童。本综述将重点介绍与儿童 TBI 相关的具体问题，这些问题可能对成人神经科医生有用。然而，科学正在迅速发展，医生应该确保及时了解最新信息，为患者提供循证服务。
