alexa A Sensible Approach to Pediatric Mild Traumatic Brain Injury: New Roads and New Vistas | Open Access Journals
ISSN: 2572-0775
Clinical Pediatrics: Open Access
Like us on:
Make the best use of Scientific Research and information from our 700+ peer reviewed, Open Access Journals that operates with the help of 50,000+ Editorial Board Members and esteemed reviewers and 1000+ Scientific associations in Medical, Clinical, Pharmaceutical, Engineering, Technology and Management Fields.
Meet Inspiring Speakers and Experts at our 3000+ Global Conferenceseries Events with over 600+ Conferences, 1200+ Symposiums and 1200+ Workshops on
Medical, Pharma, Engineering, Science, Technology and Business

A Sensible Approach to Pediatric Mild Traumatic Brain Injury: New Roads and New Vistas

Luis Rafael Moscote-Salazar1* and Guru Dutta Satyarthee2

1Neurosurgeon-Critical Care, RED LATINO Organización latinoamericana de Trauma y Cuidado neurointensivo, Bogota, Chile

2All India Institute of Medical Sciences, New Delhi, India

*Corresponding Author:
Luis Rafael Moscote-Salazar
Neurosurgeon-Critical Care
RED LATINO Organización latinoamericana de
Trauma y Cuidado neurointensivo, Bogota, Chile
Tel: +57301283538
E-mail: [email protected]

Received Date: January 04, 2016 Accepted Date: January 05, 2016 Published Date: January 18, 2016

Citation: Moscote-Salazar LR, Satyarthee GD (2016) A Sensible Approach to Pediatric Mild Traumatic Brain Injury: New Roads and New Vistas. Clin Pediatr 1: e104. doi: 10.4172/2572-0775.1000e104

Copyright: © 2016 Luis Rafael Moscote-Salazar, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.

Visit for more related articles at Clinical Pediatrics: Open Access


Traumatic brain injury still remains a major cause of mortality and morbidity. In the United States, incidence of traumatic brain injury in the pediatric age group is approximately 180 per 100,000 populations, while the majority (75%) of pediatric head trauma is categorized as mild traumatic injury of brain (mTBI). Expenditure over $ 1 billion is needed every year by health system in the United States alone for the management of pediatric traumatic brain injury. The management of pediatric cases possesses a great challenge to the treating pediatrician, neurosurgeon specially, while putting request for computed tomography scan or other imaging studies, deciding management plan either institutional observation or to discharged to home and regular follow-up in the outpatient department [1- 3].

According to the criteria devised by mild traumatic brain injury committee, American congress of rehabilitatatory medicine; a child suffering with injury to be labelled as mild have atleast one manifestions among the following including, loss of consciousness, loass of memory regarding events following or preceding accident, alteration in mental status of the victims at time of injury e. g. confusion, disorientation or feeling of dizziness amd the last focal neurological deficit of transient or permanent. However, the duration of loss of consciousness should not exceed half an hour and duration of post traumatic amnesia not more than twenty four hours and initial Glasgow Coma Scale score within the critical range of 13 – 15 [4]. Further, according to the Children’s Hospital of Philadelphia Practice Guidelines, pediatric mTBI should have initial evaluation, Glasgow Coma Scale within a GCS of 14 - 15 and must not have associated focal neurologic deficits [5].

The Pathophysiology of mTBI is a complex cascade of interaction of direct and indirect mechanisms are involved. In the post-traumatic phase is associated with alteration in the cerebral blood flow and its auto regulation responsible for clinical symptomatology of MTBI. Histo pathological changes are transient, but repetitive phenomena. Recently, several proteins are also identified that can also act as diagnostic and prognostic MBTI biomarkers [6, 7].

About 6 to 8% mBTI have patients can have radiologically detectable change detecte don computerized tomography scan and these may include brain contusions subarachnoid hemorrhage, extradural hematoma, petechial hemorrhage and cerebral edema [8].

The Centers for Disease Control and World Health Organization promote of term "concussion" over the mBTI, however, use of such terminology remains controversial as terms are still used interchangeably [9].

Mild traumatic injury of brain still continues to be a major health hazard affecting pediatric population, however, improving analytical tool, usage of modern diagnostic imaging studies and future research will through light on better understanding of pathophysiology and its management.


Select your language of interest to view the total content in your interested language
Post your comment

Share This Article

Relevant Topics

Recommended Conferences

Article Usage

  • Total views: 8161
  • [From(publication date):
    April-2016 - Sep 24, 2017]
  • Breakdown by view type
  • HTML page views : 8101
  • PDF downloads :60

Post your comment

captcha   Reload  Can't read the image? click here to refresh

Peer Reviewed Journals
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri, Food, Aqua and Veterinary Science Journals

Dr. Krish

[email protected]

1-702-714-7001 Extn: 9040

Clinical and Biochemistry Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals


[email protected]

1-702-714-7001Extn: 9042

Chemical Engineering and Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001 Extn: 9040

Earth & Environmental Sciences

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

General Science and Health care Journals

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics and Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001 Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Informatics Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Material Sciences Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Mathematics and Physics Journals

Jim Willison

[email protected]

1-702-714-7001 Extn: 9042

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001 Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

John Behannon

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001 Extn: 9042

© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version