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Severe traumatic brain injury in children: Initial evaluation and management

Monica S Vavilala, MD
Robert C Tasker, MBBS, MD
Section Editors
Richard G Bachur, MD
Adrienne G Randolph, MD, MSc
Deputy Editor
James F Wiley, II, MD, MPH


This topic will review the initial evaluation and management of children with severe traumatic brain injury. The evaluation and management of inflicted head injury, diagnosis and management of elevated intracranial pressure, and minor head injury are discussed separately:

(See "Child abuse: Evaluation and diagnosis of abusive head trauma in infants and children".)

(See "Elevated intracranial pressure (ICP) in children: Clinical manifestations and diagnosis" and "Elevated intracranial pressure (ICP) in children: Management".)

(See "Minor head trauma in infants and children: Evaluation" and "Minor head trauma in infants and children: Management".)


According to the Centers for Disease Control and Prevention, the severity of traumatic brain injury (TBI) is typically defined by the initial Glasgow Coma Scale (GCS) or Pediatric Glasgow Coma Scale score (table 1) [1]:

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Literature review current through: Oct 2017. | This topic last updated: Jun 07, 2017.
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