Pediatric TBI Flashcards
Which has better prognosis - TBI due to trauma or TBI due to anoxic brain injury
Trauma
Does central autonomic dysfunction show decerebrate or decorticate posturing
Decerebrate
Why do children have increased likelihood of injury secondary to increased rotational forces
They have large heads
1 cause of motor vehicle deaths and #1 cause of non-motor vehicle deaths in children
#1 cause of motor vehicle deaths = TBI #1 cause of non-motor vehicle deaths = burns
Largest cause of disability in TBI in pediatrics
Communication and cognitive deficits
Who is more likely to show precocious puberty after TBI - girls or boys
Girls
Horner’s syndrome can be seen with what kind of brachial plexus injury
Lower trunk (C8-T1) injury
Dysfunction/injury to what structure leads to central autonomic dysfunction
Brainstem or hypothalamus
Most deficient pituitary hormones after TBI in pediatrics
GH, FSH, LH
What type of SCI are children <6yo more likely to have after MVA
Complete paraplegia
6 symptoms of central autonomic dysfunction
- Hypertension
- Diaphoresis
- Tachypnea
- Decerebrate posturing
- Rigidity
- Hyperthermia
GCS that indicates mild, moderate and severe TBI
Mild = 13-15 Moderate = 9-12 Severe = <8
LOC that indicates mild, moderate and severe TBI
Mild = <30 min Moderate = <24 hours Severe = >24 hours Profound = >90 days
PTA that indicates mild, moderate and severe TBI
Mild = <1 hour Moderate = 1-24 hours Severe = >24 hours
What is the mechanism of injury that can cause an upper trunk brachial plexus injury
Neck traction
