Use the keywords feature with a free QxMD account.
Use Read by QxMD to access full text via your institution or open access sources.
Read also provides personalized recommendations to keep you up to date in your field.
Existing User
Sign InNew to Read
Sign Up#1
D López, F Espinel, E Andrade, A S Aguirre
In pediatric patients, an acute altered mental status refers to a sudden and significant change in a child's brain function and level of consciousness. It may manifest as confusion, disorientation, agitation, lethargy or even a loss of consciousness. This condition is a medical emergency, and requires immediate evaluation and attention. There are several causes of acute altered mental status in children, including infections of the central nervous system such as meningitis or encephalitis, traumatic brain injury, metabolic disorders, seizures and poisoning, among others...
April 16, 2024: Revista de Neurologia
#2
EDITORIAL
Coriene Catsman-Berrevoets
No abstract text is available yet for this article.
April 6, 2024: European Journal of Paediatric Neurology: EJPN
#3
JOURNAL ARTICLE
James F Holmes, Kenneth Yen, Irma T Ugalde, Paul Ishimine, Pradip P Chaudhari, Nisa Atigapramoj, Mohamed Badawy, Kevan A McCarten-Gibbs, Donovan Nielsen, Allyson C Sage, Grant Tatro, Jeffrey S Upperman, P David Adelson, Daniel J Tancredi, Nathan Kuppermann
BACKGROUND: The intra-abdominal injury and traumatic brain injury prediction rules derived by the Pediatric Emergency Care Applied Research Network (PECARN) were designed to reduce inappropriate use of CT in children with abdominal and head trauma, respectively. We aimed to validate these prediction rules for children presenting to emergency departments with blunt abdominal or minor head trauma. METHODS: For this prospective validation study, we enrolled children and adolescents younger than 18 years presenting to six emergency departments in Sacramento (CA), Dallas (TX), Houston (TX), San Diego (CA), Los Angeles (CA), and Oakland (CA), USA between Dec 27, 2016, and Sept 1, 2021...
May 2024: Lancet Child & Adolescent Health
#4
JOURNAL ARTICLE
Andrée-Anne Ledoux, Roger Zemek, Molly Cairncross, Noah Silverberg, Veronik Sicard, Nicholas Barrowman, Gary Goldfield, Clare Gray, Ashley D Harris, Natalia Jaworska, Nick Reed, Bechara J Saab, Andra Smith, Lisa Walker
BACKGROUND: Concussion in children and adolescents is a significant public health concern, with 30% to 35% of patients at risk for prolonged emotional, cognitive, sleep, or physical symptoms. These symptoms negatively impact a child's quality of life while interfering with their participation in important neurodevelopmental activities such as schoolwork, socializing, and sports. Early psychological intervention following a concussion may improve the ability to regulate emotions and adapt to postinjury symptoms, resulting in the greater acceptance of change; reduced stress; and recovery of somatic, emotional, and cognitive symptoms...
April 11, 2024: JMIR Research Protocols
#5
JOURNAL ARTICLE
Varun Sampat, John Whitinger, Katherine Flynn-O'Brien, Irene Kim, Binod Balakrishnan, Niyati Mehta, Rachel Sawdy, Namrata D Patel, Rupa Nallamothu, Liyun Zhang, Ke Yan, Kimberley Zvara, Raquel Farias-Moeller
BACKGROUND: Children with severe traumatic brain injury (sTBI) are at risk for neurological sequelae impacting function. Clinicians are tasked with neuroprognostication to assist in decision-making. We describe a single-center study assessing clinicians' neuroprognostication accuracy. METHODS: Clinicians of various specialties caring for children with sTBI were asked to predict their patients' functioning three to six months postinjury. Clinicians were asked to participate in the study if their patient had survived but not returned to baseline between day 4 and 7 postinjury...
March 16, 2024: Pediatric Neurology
#6
JOURNAL ARTICLE
Simone Peraio, Giorgio Mantovani, Tommaso Araceli, Lorenzo Mongardi, Alice Noris, Edoardo Fino, Francesca Formica, Luigi Piccinini, Federico Melani, Matteo Lenge, Roberta Scalise, Roberta Battini, Andrea Di Rita, Ludovico D'Incerti, Tayler Appleton, Michele Alessandro Cavallo, Renzo Guerrini, Flavio Giordano
PURPOSE: Deep brain stimulation (DBS) of nucleus ventralis intermedius thalami (Vim) is a validated technique for the treatment of essential tremor (ET) in adults. Conversely, its use for post traumatic tremor (PTT) and in paediatric patients is still debated. We evaluated the efficacy of Vim-DBS for lesional tremor in three paediatric patients with drug-resistant post-traumatic unilateral tremor. METHODS: We retrospectively collected data regarding three patients with unilateral tremor due to severe head injury, with no MRI evidence of basal ganglia lesions...
April 4, 2024: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
#7
JOURNAL ARTICLE
Libby Crook, Jessica S Riccardi, Jennifer P Lundine, Angela Ciccia
PURPOSE: To describe the relationship amongst child and family characteristics (e.g. social relationships, family functioning) and child participation after traumatic brain injury (TBI) an average of 2.65 years post-TBI (SD = 2.12). METHOD: Cross-sectional, secondary analysis of data collected as part of a larger research project. RESULTS: N = 44 children with TBI. Analysis revealed statistically significant correlations between child participation, family functioning, and child characteristics...
March 30, 2024: Developmental Neurorehabilitation
#8
JOURNAL ARTICLE
Kendall Parsons, Makda G Mulugeta, Gabrielle Bailey, Scott Gillespie, Laura M Johnson, Hannah E Myers, Andrew Reisner, Laura S Blackwell
INTRODUCTION: Social determinants of health (SDH) are factors that may impact outcomes following pediatric traumatic brain injuries (TBI). The purpose of this study was to investigate the relationship between race and functional outcomes in a diverse pediatric population. We further explored how this association may be modified by SDH factors, including insurance status, social vulnerability, and child opportunity. METHODS: A cohort study ( N = 401) of children aged 0-18 [median = 9...
2024: Frontiers in Neurology
#9
JOURNAL ARTICLE
Theodor S Sigurdsson, Emilie Øberg, Janne Roshauw, Bryndis Snorradottir, Lars Broksø Holst
BACKGROUND: Transfusion of red blood cells (RBC) to rapidly increase hemoglobin levels have been associated with increased risks and worse outcomes in critically ill children. The international TAXI consensus from 2018 (pediatric critical care transfusion and anemia expertise initiative) recommended restrictive RBC transfusion strategies in pediatric patients. OBJECTIVE: To elucidate physicians perioperative RBC transfusion trigger strategies for pediatric patients in the Nordic countries and to investigate what factors influence the decision to transfuse this group of patients...
March 28, 2024: Acta Anaesthesiologica Scandinavica
#10
JOURNAL ARTICLE
Sara Galbiati, Federica Locatelli, Francesca Formica, Marco Pozzi, Sandra Strazzer
Traumatic brain injury is often accompanied by defects in hormone levels, caused by either peripheral gland dysfunctions or by an insufficient central stimulation of hormone production. The epidemiology of endocrinological defects after traumatic brain injury is quite well described, but the consequences of hormone defects are largely unknown, especially in paediatric patients undergoing neurological rehabilitation. Only one previous study reported on a cohort of 20 children with traumatic brain injury and found a low incidence of hormone defects and a correlation between some hormone levels and neurological recovery...
March 5, 2024: Children
#11
JOURNAL ARTICLE
Hongbin Cao, Genrui Guo
PURPOSE: To introduce a method of cranial bone reconstruction for cranial burst fractures and early-stage growing skull fractures, named bone flap binding and transposition. METHODS: Cranial burst fractures, severe head injuries predominantly observed in infants, are characterized by widely diastatic skull fractures coupled with acute extracranial cerebral herniation beneath an intact scalp through ruptured dura mater. These injuries can develop into growing skull fractures...
March 26, 2024: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
#12
JOURNAL ARTICLE
Caroline Melhado, Rachelle Durand, Katie W Russell, Natalya E Polukoff, John Rampton, Rajiv R Iyer, Shannon N Acker, Richele Koehler, Connor Prendergast, Nicholas Stence, Brent O'Neill, Benjamin E Padilla, Ramin Jamshidi, Jennifer A Vaughn, Jennifer S Ronecker, Leigh Selesner, Katrine Lofberg, Michael Regner, Jaclyn Thiessen, Christine Sayama, Ryan G Spurrier, Erin E Ross, Chia-Shang Jason Liu, Jason Chu, Kathryn McNevin, Catherine Beni, Bryce R H Robinson, Ken Linnau, Robert T Buckley, Stephanie D Chao, Akanksha Sabapaty, Elizabeth Tong, Laura M Prolo, Romeo Ignacio, Gretchen Floan Sachs, Peter Kruk, David Gonda, Mark Ryan, Samir Pandya, Korgun Koral, Bruno P Braga, Kurtis Auguste, Aaron R Jensen
INTRODUCTION: Clinical clearance of a child's cervical spine after trauma is often challenging due to impaired mental status or an unreliable neurologic examination. Magnetic resonance imaging (MRI) is the gold standard for excluding ligamentous injury in children but is constrained by long image acquisition times and frequent need for anesthesia. Limited-sequence MRI (LSMRI) is used in evaluating the evolution of traumatic brain injury and may also be useful for cervical spine clearance while potentially avoiding the need for anesthesia...
March 25, 2024: Journal of Trauma and Acute Care Surgery
#13
REVIEW
Monica Christine Ciorba, Marc Maegele
BACKGROUND: Inadequate clinical experience still causes uncertainty in the acute diagnostic evaluation and treatment of polytrauma in children (with or without coagulopathy). This review deals with the main aspects of the acute care of severely injured children in the light of current guidelines and other relevant literature, in particular airway control, volume and coagulation management, acute diagnostic imaging, and blood coagulation studies in the shock room. METHODS: This review is based on literature retrieved by a selective search in PubMed, Medline (OVIDSP), the Cochrane Central Register of Controlled Trials, and Epistemonikos covering the period January 2001 to August 2023...
May 17, 2024: Deutsches Ärzteblatt International
#14
JOURNAL ARTICLE
Noor Khan, Vicki Anderson, Louise Crossley, Stephen Hearps, Cathy Catroppa, Nicholas P Ryan
Despite growing research linking childhood traumatic brain injury (TBI) with reduced wellbeing, self-esteem, and psycho-social health, very few studies have examined self-esteem and its correlates in young adult survivors of childhood TBI. This very-long-term follow-up study evaluated self-esteem in 29 young adults with a history of childhood TBI (M time since injury = 13.84 years; SD = 0.74), and 10 typically developing controls (TDCs). All participants were originally recruited into a larger, longitudinal case-control study between 2007 and 2010...
March 11, 2024: Neuropsychological Rehabilitation
#15
JOURNAL ARTICLE
Safira Dharsee, Ken Tang, Miriam H Beauchamp, William Craig, Quynh Doan, Stephen B Freedman, Jocelyn Gravel, Roger Zemek, Keith Owen Yeates
OBJECTIVE: To examine preinjury life events as moderators of postconcussive symptoms (PCS) and quality of life (QoL) in children with pediatric mild traumatic brain injury (mTBI) versus orthopedic injury (OI). METHODS: Participants were 633 children with mTBI and 334 with OI, ages 8-16.99, recruited from 5 pediatric emergency departments and followed for 6 months postinjury as part of a prospective cohort study. Preinjury life events were measured retrospectively using the Child and Adolescent Survey of Experiences, PCS using the Health and Behavior Inventory (HBI) and Post-Concussion Symptom Interview (PCS-I), and QoL using the Pediatric Quality of Life Inventory (PedsQL)...
March 8, 2024: Journal of Pediatric Psychology
#16
JOURNAL ARTICLE
Megan Cain, Paige Lemhouse, Cathleen Buckon, Krister P Freese
BACKGROUND: Severe spastic wrist contractures secondary to cerebral palsy (CP) or alike can have significant implications for patient hand function, hygiene, skin breakdown, and cosmesis. When these contractures become rigid, soft tissue procedures alone are unable to obtain or maintain the desired correction. In these patients' wrist arthrodesis is an option-enabling the hand to be stabilized in a more functional position for hygiene, dressing, and general cosmesis, though are patients satisfied? METHODS: All children who had undergone a wrist arthrodesis for the management of a severe wrist contracture at Shriners Hospital, Portland between January 2016 and January 2021 were identified (n=23)...
March 7, 2024: Journal of Pediatric Orthopedics
#17
JOURNAL ARTICLE
Dean Gomes, Shawn R Eagle, Bindal Makwana Mehmel, Theodore John Albrecht, Amelia L Versace, João Paulo Lima Santos, Alicia Morgan Trbovich, Richelle Stiffler, Laramie Martinez, Cynthia L Holland, Aaron James Zynda, Michael W Collins, Anthony P Kontos
Concussion often results in psychological symptoms, including anxiety. Post-concussion anxiety has been well-documented, although much of this research has focused on collegiate athletes. The purpose of this study was to compare 1) anxiety symptoms in concussed and healthy controls over time, and 2) to explore sex differences in post-concussion anxiety within the context of pubertal development. Participants (N=126, mean age = 15.1 years old), including concussed (n=86) and healthy adolescents (n=40), completed the Pubertal Development Scale (PDS) and the Screen for Child Anxiety and Related Disorders (SCARED-C)...
February 26, 2024: Journal of Neurotrauma
#18
JOURNAL ARTICLE
Jessica M Schwartzman, Zachary J Williams, Andrew E Molnar
Children with neurologic disorders face increased risks for mental health and neurodevelopmental conditions, with information often limited to parent report. To better understand mental health and neurodevelopmental needs in this population, a retrospective chart review of a convenience sample of children with neurologic disorders referred for a neuropsychological evaluation was conducted in the present study to explore interrater agreement between care team members (referring providers, parents, pediatric neuropsychologist)...
February 24, 2024: Journal of Clinical Psychology in Medical Settings
#19
JOURNAL ARTICLE
Rachel C Kim, Priya Aggarwal, Regina Kuhia, Anthony J Sochan, Zirun Zhao, Susan Fiore, David Chesler, Héctor E Alcalá, Helen Hsieh
BACKGROUND: To study the impact of the COVID-19 pandemic on traumatic brain injury (TBI) patient demographic, clinical and trauma related characteristics, and outcomes. METHODS: Retrospective chart review was conducted on pediatric TBI patients admitted to a Level I Pediatric Trauma Center between January 2015 and June 2022. The pre-COVID era was defined as January 1, 2015, through March 12, 2020. The COVID-19 era was defined as March 13, 2020, through June 30, 2022...
February 1, 2024: Journal of Pediatric Surgery
#20
JOURNAL ARTICLE
Manel Krouma, A Aboudou Soilihi, Gregoire Pech-Gourg, Sophie Arnaud, El Louali Fadoua, Caruselli Marco, Didier Scavarda
Paroxysmal sympathetic hyperactivity (PSH) is a relatively common syndrome typically observed following traumatic brain injury (TBI). It manifests through a combination of non-specific symptoms that collectively define its presentation. Linked to sympathetic hyperactivity, takotsubo syndrome is a cardiomyopathy marked by left ventricular dysfunction and may coincide with PSH. While various factors can lead to the simultaneous occurrence of these syndromes, a notably rare scenario involves their manifestation after brain tumor removal...
February 22, 2024: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
Make the most of Read.
Download the mobile app.
Download the mobile app.
Fetching more papers... 
