小児脳外傷:乳幼児期に受傷した症例の検討

  • 栗原 まな
    神奈川県総合リハビリテーションセンター 小児科 東京慈恵会医科大学 小児科
  • 小萩沢 利孝
    神奈川県総合リハビリテーションセンター 小児科 東京慈恵会医科大学 小児科
  • 作間 未緒
    神奈川県総合リハビリテーションセンター 小児科 東京慈恵会医科大学 小児科
  • 高橋 佳代子
    神奈川県総合リハビリテーションセンター 小児科 東京慈恵会医科大学 小児科
  • 衛藤 義勝
    東京慈恵会医科大学 小児科

書誌事項

タイトル別名
  • Pediatric Traumatic Brain Injury: Investigation of clinical features and outcomes in young children

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抄録

<p>We investigated the characteristics of types of disability, ways of evaluation, possible age of evaluation, and recommended neuropsychological tests for evaluation after traumatic brain injury in young children. Participants were 40 children under 6 years of age at brain injury. They were divided into 3 groups. Group I: 20 cases with severe disability, group II: 15 cases with mild to moderate disability, group III: 5 cases without disability. After checking both their condition during acute stage and detail of disability at present, each group was compared. Glasgow coma scale was significantly low in group I. Subdural hematoma was frequent in group I and diffuse brain injury was frequent in group II. Diagnosis of disability was almost possible at one year after brain injury in group I and III. It was impossible to diagnose the severity of disability in group II because evaluation of higher cortical dysfunction such as attention deficit, emotional dys-adjustment or memory disturbance was difficult. Wechsler Intelligence Scale for Children-III test and Kaufman Assessment Battery for Children were the most recommended tests for evaluation.</p>

収録刊行物

  • 神経外傷

    神経外傷 30 (1), 53-60, 2007-12-27

    一般社団法人 日本脳神経外傷学会

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