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Pediatric Traumatic Brain Injury: Outcomes and Rehabilitation

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Textbook of Pediatric Neurosurgery

Abstract

Traumatic brain injury (TBI) remains a leading cause of injury-related death and morbidity in children worldwide. Patients are frequently left with physical, neuropsychological, and behavioral deficits. These poor outcomes present significant challenges to the patients’ development and well-being, and have far-reaching consequences for their families and larger communities, as well as the rehabilitative health sector. Both injury and noninjury factors and the interaction between them play an important role in determining outcome. Long-term, appropriately focused rehabilitation from a multidisciplinary team can have a meaningful impact on patient recovery; however, poor access to resources may limit the benefits of rehabilitation on pediatric TBI (pTBI) outcomes. Conducting globally generalizable outcomes research is methodologically and practically challenging, and the efficacy and benefits of rehabilitation are similarly difficult to assess. However, research on the outcomes and rehabilitation of pTBI is continually evolving. In this chapter, we discuss the outcomes of pTBI across a range of domains (clinical, neuropsychological, behavioral, psychiatric, academic, and familial), factors which impact on these outcomes, the tools and challenges of outcome assessment, and approaches to rehabilitation.

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Authors and Affiliations

  1. ACSENT Laboratory, Department of Psychology, University of Cape Town, Cape Town, South Africa

    Leigh E. Schrieff-Elson & Kevin G. F. Thomas

  2. Division of Neurosurgery, University of Cape Town, Cape Town, South Africa

    Ursula K. Rohlwink

Authors
  1. Leigh E. Schrieff-Elson
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  2. Kevin G. F. Thomas
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  3. Ursula K. Rohlwink
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Corresponding author

Correspondence to Leigh E. Schrieff-Elson .

Editor information

Editors and Affiliations

  1. International Neuroscience Institute, Hannover, Germany

    Concezio Di Rocco

  2. Oakland Medical Center, Oakland, California, USA

    Dachling Pang

  3. University of Toronto Hospital for Sick Children, Toronto, Ontario, Canada

    James T. Rutka

Section Editor information

  1. Director of Pediatric Neurosurgery, International Neuroscience Institute, Hannover, Germany

    Concezio Di Rocco

  2. The Division of Neurosurgery, University of Cape Town, Cape Town, South Africa

    Anthony Figaji,

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Schrieff-Elson, L.E., Thomas, K.G.F., Rohlwink, U.K. (2017). Pediatric Traumatic Brain Injury: Outcomes and Rehabilitation. In: Di Rocco, C., Pang, D., Rutka, J. (eds) Textbook of Pediatric Neurosurgery. Springer, Cham. https://doi.org/10.1007/978-3-319-31512-6_150-1

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  • DOI: https://doi.org/10.1007/978-3-319-31512-6_150-1

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