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<p>Traumatic brain injury (TBI) is among the most common and clinically significant injuries in children and adolescents. Despite predominantly mild courses, there remains substantial need for improvement in diagnostics, acute management, and follow-up care. Key elements include structured patient history, standardized neurological examination, and risk-based decision-making with respect to imaging and monitoring to avoid unnecessary radiation exposure and hospitalization. Counseling should focus on warning signs of delayed intracranial complications and particularly on a&#xa0;gradual, symptom-based return-to-school and return-to-sport strategy. Persistent postconcussive symptoms affect up to one third of children and require a&#xa0;multidimensional, interprofessional approach. Early identification of risk factors and a&#xa0;multimodal, biopsychosocial management strategy can significantly mitigate long-term impairment. Close interdisciplinary collaboration is essential to sustainably improve care for affected children.</p>

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Schädel-Hirn-Trauma: was können wir besser machen, was brauchen wir dafür?

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年1月22日

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  • Habyna Ravichandrajah,
  • Linda von der Heiden,
  • Tobi Engelke,
  • Julia Konrad,
  • Maria-Grazia Gerard,
  • Michaela Bonfert,
  • Nora Bruns

摘要

Traumatic brain injury (TBI) is among the most common and clinically significant injuries in children and adolescents. Despite predominantly mild courses, there remains substantial need for improvement in diagnostics, acute management, and follow-up care. Key elements include structured patient history, standardized neurological examination, and risk-based decision-making with respect to imaging and monitoring to avoid unnecessary radiation exposure and hospitalization. Counseling should focus on warning signs of delayed intracranial complications and particularly on a gradual, symptom-based return-to-school and return-to-sport strategy. Persistent postconcussive symptoms affect up to one third of children and require a multidimensional, interprofessional approach. Early identification of risk factors and a multimodal, biopsychosocial management strategy can significantly mitigate long-term impairment. Close interdisciplinary collaboration is essential to sustainably improve care for affected children.