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Cited by 347Traumatic Brain Injury and Neurovascular DisturbancesTraumatic Brain Injury ResearchTrauma and Emergency Care Studies

The DOI matches its Crossref record; 24 of the 25 references it cites were found in a registry or an index.

Outcome following severe head injuries in children

Bruce, Derek A., Schut, Luis, Bruno, Leonard A., Wood, James H., Sutton, Leslie N.·1978·Journal of neurosurgery
DOI 10.3171/jns.1978.48.5.0679
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Abstract

The outcome in 53 children following severe head injury is presented. All children were graded using the Glasgow Coma Scale; 90% made a good recovery or were moderately disabled, and 8% died or were left vegetative. All patients were treated with controlled ventilation and steroids; mannitol, and, if necessary, Nembutal (pentobarbital) were used to maintain the intracranial pressure below 20 torr. With this regimen, only one death occurred due to uncontrollable intracranial hypertension. All patients with a coma scale of 5 or greater recovered well. The worst prognostic sign was the presence of flaccidity: 33% of these patients died or were vegetative. Five of seven patients who were decerebrate or flaccid with bilateral fixed pupils and absent caloric responses made a good recovery or were moderately disabled. The relatively low incidence of mass lesions (23%) and high incidence of diffuse cerebral swelling (34%) suggest a different pathophysiological response of the child's brain to injury, which may play a role in the improved survival of children following severe head injury when compared to adults.

Overview

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Crossref · 10.3171/jns.1978.48.5.0679

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Metadata

Authors
Bruce, D. A., Schut, L., Bruno, L. A., Wood, J. H., & Sutton, L. N.
Venue
Journal of neurosurgery
Publisher
Journal of Neurosurgery Publishing Group (JNSPG)
Published
1978-05
Volume
48
Issue
5
Pages
679-688
ISSN
0022-3085 (ISSN-L)
DOI
10.3171/jns.1978.48.5.0679
OpenAlex
W1992789129
Cited by
347
References
25
Citations by year
2025: 1 · 2024: 3 · 2022: 1 · 2021: 1 · 2020: 3 · 2018: 3 · 2017: 2 · 2015: 4 · 2014: 2 · 2013: 5 · 2012: 5
FWCI
14.60
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of neurosurgery (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Clinical Neurology › Traumatic Brain Injury and Neurovascular Disturbances
  • Health Sciences › Medicine › Clinical Neurology › Traumatic Brain Injury Research
  • Health Sciences › Medicine › Emergency Medicine › Trauma and Emergency Care Studies
Keywords
severe traumatic brain injury, pediatric traumatic brain injury, Glasgow Coma Scale, prognosis, intracranial pressure, mannitol, corticosteroids, pentobarbital, controlled ventilation, flaccidity, cerebral edema, space-occupying lesions
MeSH terms
Adolescent, Adult, Brain Injuries, Child, Coma, Humans, Methods, Neurologic Examination, Prognosis, Time Factors

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