TY - CHAP M1 - Book, Section TI - Head Injury A1 - Stevenson, Charles B. A1 - Crone, Kerry R. A2 - Ziegler, Moritz M. A2 - Azizkhan, Richard G. A2 - Allmen, Daniel von A2 - Weber, Thomas R. PY - 2014 T2 - Operative Pediatric Surgery, 2e AB - The predominant mechanism of head injury in children varies with age. The leading cause of severe head injury in infants is nonaccidental, or inflicted, trauma.The physiologic processes resulting from acute head injury are divided into primary brain injury and secondary brain injury.Children with extensive cerebral shear injury on admission often have protracted hospitalizations with permanent neurologic deficits and poor functional outcomes.Avoidance of systemic hypotension, hypercarbia, hypoxemia, hyperglycemia, intracranial hypertension, and seizure activity can significantly minimize secondary injury following moderate or severe traumatic brain injury, thereby substantially reducing morbidity/mortality and improving functional outcomes.Children with a post-resuscitation GCS of ≤8 should generally undergo continuous ICP monitoring as part of their management.The classic triad of findings in children with inflicted injury includes subdural hematomas, retinal hemorrhages, and evidence of skeletal injury. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/10/04 UR - accesssurgery.mhmedical.com/content.aspx?aid=1100438234 ER -