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Mild traumatic brain injury in children

DOI: https://doi.org/10.29296/25877305-2021-08-08
Issue: 
8
Year: 
2021

O. Soboleva; I. Vyshlova, Candidate of Medical Sciences; A. Karpov; Professor S. Karpov, MD
Stavropol State Medical University, Ministry of Health of Russia

Based on the current data available in Russian and foreign literature, the authors highlight the topical issues of epidemiology, etiology, pathogenesis, clinical presentations, diagnosis, and treatment of mild traumatic brain injury and its consequences in children.

Keywords: 
traumatology
pediatrics
traumatic brain injury
brain concussion
epidemiology
diagnosis
treatment
children



References: 
  1. Dewan M.C., Mummareddy N., Wellons J.C. 3rd. et al. Epidemiology of Global Pediatric Traumatic Brain Injury: Qualitative Review. World Neurosurg. 2016; 91: 497–509. DOI: 10.1016/j.wneu.2016.03.045
  2. Byval'tsev V.A., Kalinin A.A., Belyh E.G. i dr. Cherepno-mozgovaja travma: uchebnoe posobie. Irkutsk: IGMU, 2018; 154 s. [Byval’tsev V.A., Kalinin A.A., Belykh E.G. et al. Cherepno-mozgovaya travma: uchebnoe posobie. Irkutsk: IGMU, 2018; 154 s. (in Russ.)].
  3. Wang S.Y., Li Y.H., Chi G.B. et al. Injury-related fatalities in China: an under recognised public health problem. Lancet. 2008; 372 (9651): 1765–73. DOI: 10.1016/S0140-6736(08)61367-7
  4. Patton G.C., Coffey C., Sawyer S.M. et al. Global patterns of mortality in young people: a systematic analysis of population health data. Lancet. 2009; 374 (9693): 881–92. DOI: 10.1016/S0140-6736(09)60741-8
  5. Artarjan A.A., Iova A.S., Garmashov Ju.A. i dr. Cherepno-mozgovaja travma u detej. Cherepno-mozgovaja travma. Klinicheskoe rukovodstvo. T. 2. M.: Antidor, 2001; s. 603–48 [Artaryan A.A., Iova A.S., Garmashov Yu.A. et al. Cherepno-mozgovaya travma u detei. Cherepno-mozgovaya travma. Klinicheskoe rukovodstvo. T. 2. M.: Antidor, 2001; s. 603–48 (in Russ.)].
  6. Keenan H.T., Bratton S.L. Epidemiology and outcomes of pediatric traumatic brain injury. Dev Neurosci. 2006; 28 (4–5): 256–3. DOI: 10.1159/000094152
  7. Case M.E. Accidental traumatic head injury in infants and young children. Brain Pathol. 2008; 18 (4): 583–9. DOI: 10.1111/j.1750-3639.2008.00203.x
  8. Arbogast K.B., Curry A.E., Pfeiffer M.R. et al. Point of Health Care Entry for Youth With Concussion Within a Large Pediatric Care Network. JAMA Pediatr. 2016; 170 (7): e160294. DOI: 10.1001/jamapediatrics.2016.0294
  9. Lihterman L.B. Klassifikatsija cherepno-mozgovoj travmy. Chast' III. Slagaemye diagnoza ChMT i printsipy ego postroenija. Sudebnaja meditsina. 2015; 1 (4): 34–40 [Lichterman L.B. Classification of cranial trauma. Chapter III. Terms of traumatic brain injury diagnosis and principles of its construction. Russian Journal of Forensic Medicine. 2015; 1 (4): 34–40 (in Russ.)]. DOI: 10.19048/2411-8729-2015-1-4-34-40
  10. Chuhlovina M.L. Osobennosti diagnostiki cherepno-mozgovoj travmy v detskom vozraste. Pediatr. 2013; 4 (4): 56–60 [Chukhlovina M.L. Diagnostic features of traumatic brain injury in childhood. Pediatr. 2013; 4 (4): 56–60 (in Russ)].
  11. Babl F.E., Borland M.L., Phillips N. et al. Accuracy of PECARN, CATCH, and CHALICE head injury decision rules in children: a prospective cohort study. Lancet. 2017; 389: 2393–402. DOI: 10.1016/S0140-6736(17)30555-X
  12. Povzun A.A., Schugareva L.M., Iova A.S. Nereshennye problemy legkoj cherepno-mozgovoj travmy u detej (obzor literatury). Nejrohirurgija i nevrologija detskogo vozrasta. 2017; 2: 64–9 [Povzun A.A., Shchugareva L.M., Iova A.S. Approaches to assessing the severity of mild traumatic brain injury in children (literature review). Neirokhirurgiya i nevrologiya detskogo vozrasta. 2017; 2: 64–9 (in Russ)].
  13. Firsching R., Woischneck D., Klein S. et al. Classification of severe head injury based on magnetic resonance imaging. Acta Neurochir. (Wien). 2001; 143: 263–71. DOI: 10.1007/s007010170106
  14. Tong K.A., Ashwal S., Obenaus A., et al. Susceptibility-weighted MR imaging a review of clinical applications in children. Am J Neuroradiol. 2008; 29 (1): 9–17. DOI: 10.3174/ajnr.A0786
  15. Iova A.S., Schugareva L.M., Garmashov Ju.A. i dr. Novyj printsip diagnostiki v nejropediatrii. Pediatrija (Pril. k zhurn. Consilium Medicum). 2017; 2: 16–22 [Iova A.S., Shchugareva L.M., Garmashov Yu.A. et al. A new principle of diagnosis in neuropediatrics. Pediatrics (Suppl. Consilium Medicum). 2017; 2: 16–22 (in Russ.)].
  16. Schugareva L.M., Reznjuk E.A., Homenko A.A. i dr. Kliniko-intraskopicheskij podhod v otsenke legkoj travmy golovy u detej. Nejrohirurgija i nevrologija detskogo vozrasta. 2013; 3 (37): 26–35 [Shchugareva L.M., Reznuk E.A., Homenko A. et al. Clinical and neuroimaging approach for pediatric head trauma. Neirokhirurgiya i nevrologiya detskogo vozrasta. 2013; 3 (37): 26–35 (in Russ.)].
  17. Virji- Babal N., Borich M.R., Makan N. et al. Diffusion tensor imaging of sports-related concussion in adolescents. Pediatr Neurol. 2013; 48 (1): 24–9. DOI: 10.1016/j.pediatrneurol.2012.09.005
  18. Zurek J., Fedora M. The usefulness of S100 B, NSE, GFAP, NFF-H, secretagogin and Hsp70 as a predictic brain inury. Acta Neurochir. (Wien). 2012; 154 (1): 93–103. DOI: 10.1007/s00701-011-1175-2
  19. Nazarova E.O., Karpov S.M., Apaguni A.E. et al. Clinical and neurophysiological features of different in structure combined traumas. Medical News of North Caucasus. 2019; 14 (3): 486–9. DOI: 10.14300/mnnc.2019.14118
  20. Sigurta A., Zanaboni C., Canavesi K. et al. Intensive care for pediatric traumatic brain injury. Intensive Care Med. 2013; 39 (1): 129–36. DOI: 10.1007/s00134-012-2748-0
  21. Hiploylee C., Dufort P.A., Davis H.S. et al. Longitudinal study of postconcussion syndrome: not everyone recovers. J Neurotrauma. 2016; 34: 1511–23. DOI: 10.1089/neu.2016.4677
  22. Caplain S., Blancho S., Marque S. et al. Early detection of poor outcome after mild traumatic brain injury: predictive factors using a multidimensional approach a pilot study. Front Neurol. 2017; 8: 666. DOI: 10.3389/fneur.2017.00666
  23. Barlow K.M., Marcil L.D., Dewey D. et al. Cerebral perfusion changes in post-concussion syndrome: a prospective controlled cohort study. J Neurotrauma. 2017; 34: 996–1004. DOI: 10.1089/neu.2016.4634
  24. Nazarova E.O., Karpov S.M., Apaguni A.E. i dr. Sovremennyj vzgljad na patogeneticheskie mehanizmy travmaticheskoj bolezni pri politravme (obzor literatury). Vestnik novyh meditsinskih tehnologij. Elektronnoe izdanie. 2018; 1: 126–30 [Nazarova E.O., Karpov S.M., Apaguni A.E. et al. The modern views on the pathogenetic mechanisms of traumatic disease in polytrauma (literature review). Journal of new medical technologies, eEdition. 2018; 1: 126–30 (in Russ.)]. DOI: 10.24411/2075-4094-2018-15688
  25. Winkler R., Taylor N.F. Do Children and adolescents with mild traumatic brain injury and persistent symptoms benefit from treatment? A systematic review. J Head Trauma Rehabil. 2015; 30: 324–33. DOI: 10.1097/HTR.0000000000000114
  26. Schneider K.J., Leddy J.J., Guskiewicz K.M. et al. Rest and treatment/rehabilitation following sport-related concussion: a systematic review. Br J Sports Med. 2017; 51: 930–4. DOI: 10.1136/bjsports-2016-097475
  27. Lumba-Brown A., Yeates K.O., Sarmiento K. et al. Centers for disease control and prevention guideline on the diagnosis and management of mild traumatic brain injury among children. JAMA Pediatr. 2018; 172: e182853. DOI: 10.1001/jamapediatrics.2018.2853
  28. Silverberg N.D., Iverson G.L. Is rest after concussion «the best medicine?»: recommendations for activity resumption following concussion in athletes, civilians, and military service members. J Head Trauma Rehabil. 2013; 28: 250–9. DOI: 10.1097/HTR.0b013e31825ad658
  29. Grool A.M., Aglipay M., Momoli F. et al. Association between early participation in physical activity following acute concussion and persistent postconcussive symptoms in children and adolescents. JAMA. 2016; 316: 2504–14. DOI: 10.1001/jama.2016.17396
  30. Thomas D.G., Apps J.N., Hoffmann R.G. et al. Benefits of strict rest after acute concussion: a randomized controlled trial. Pediatrics. 2015; 135: 213–23. DOI: 10.1542/peds.2014-0966
  31. Eliyahu L., Kirkland S., Campbell S. et al. The effectiveness of early educational interventions in the emergency department to reduce incidence or severity of postconcussion syndrome following a concussion: a systematic review. Acad Emerg Med. 2016; 23: 531–42. DOI: 10.1111/acem.12924
  32. Gallaway M., Scheiman M., Mitchell G.L. Vision therapy for post-concussion vision disorders. Optom Vis Sci. 2017; 94: 68–73. DOI: 10.1097/OPX.0000000000000935
  33. Storey E.P., Master S.R., Lockyer J.E. et al. Near point of convergence after concussion in children. Optom Vis Sci. 2017; 94: 96–100. DOI: 10.1097/OPX.0000000000000910
  34. Storey E.P., Wiebe D.J., D’Alonzo B.A. et al. Vestibular rehabilitation is associated with visuovestibular improvement in pediatric concussion. J Neurol Phys Ther. 2018; 42: 134–41. DOI: 10.1097/NPT.0000000000000228
  35. Zemek R., Barrowman N., Freedman S.B. et al. Clinical risk score for persistent postconcussion symptoms among children with acute concussion in the ED. JAMA. 2016; 315: 1014–25. DOI: 10.1001/jama.2016.1203
  36. Silverberg N.D., Gardner A.J., Brubacher J.R. et al. Systematic review of multivariable prognostic models for mild traumatic brain injury. J Neurotrauma. 2015; 32: 517–26. DOI: 10.1089/neu.2014.3600
  37. Calcagnile O., Anell A., Unden J. The addition of S100B to guidelines for management of mild head injury is potentially cost saving. BMC Neurol. 2016; 16: 200. DOI: 10.1186/s12883-016-0723-z
  38. Maas A.I.R, Menon D.K., Adelson P.D. et al. Traumatic brain injury – integrated approaches to improving clinical care and research. Lancet Neurol. 2017; 16: 987–1048. DOI: 10.1016/S1474-4422(17)30371-X