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Pediatr Neurosurg. 1999 Nov;31(5):251-8.

Inflicted traumatic brain injury: relationship of developmental outcome to severity of injury.

Author information

1
Department of Pediatrics, University of Texas Houston Health Science Center, Houston, TX 77030, USA. lewing@ped1.med.uth.tmc.edu

Abstract

Inflicted traumatic brain injury (TBI) is a frequent consequence of physical child abuse in infants and children. Twenty-eight children who were 2-42 months of age when hospitalized for moderate to severe TBI were enrolled in a prospective, longitudinal study of neurobehavioral outcome following acquired brain injury. Relative to a comparison group, the children with inflicted TBI had significant deficits in cognitive, motor and behavioral domains when assessed with the Bayley Scales of Infant Development-II 1 and 3 months after the injury. Nearly half of the injured children showed persisting deficits in attention/arousal, emotional regulation and motor coordination. Greater injury severity, as indicated by lower coma scale scores, longer periods of unconsciousness and the presence of edema/cerebral infarctions was associated with poorer outcomes in all domains.

PMID:
10681680
DOI:
10.1159/000028872
[Indexed for MEDLINE]

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