Citation

Nowacki R, van Eldik N, Eikens M, Roijen R, Haga N, Schott D, Simons-Sporken T, Wennekes M. Eur. J. Paediatr. Neurol. 2016; 21(2): 382-387.

Affiliation

Zuyderland Medical Centre, PO-box 4446, 6401 CX Heerlen, The Netherlands. Electronic address: ri.wennekes@zuyderland.nl.

Copyright

(Copyright © 2016, Elsevier Publishing)

DOI

10.1016/j.ejpn.2016.10.009

PMID

27856122

Abstract

INTRODUCTION: Mild traumatic brain injury is a common condition in childhood. Although classified as mild, post-concussive symptoms may persist and interfere with daily activities. Because no established guidelines exist with respect to follow-up medical care for these children, there may be a delay in receiving appropriate care. We developed a follow up program to screen for persistent symptoms and if necessary, refer patients for further medical assistance.

METHODS: From July 2010 until December 2013, eligible children aged 4-18 years who presented after sustaining a mild traumatic brain injury were included. All patients received a phone call after 6 weeks. After a period of 3 months, both their schoolteacher and parents were asked to complete in a questionnaire. The results were discussed monthly by a multidisciplinary team.

RESULTS: A total of 305 children were enrolled in our follow-up program. Headache was the most common acute symptom upon presentation (63%). Overall, 19% of all patients had problems, either at 6 weeks or 3 months. 14% of these patients were referred for special care. Most common persistent post-concussive symptoms were headache (32%), cognitive problems (23%) and behavioural problems (16%). After a period of two years, a review of patient charts revealed that all of the problems were resolved.

CONCLUSION: One fifth of the children exhibit post-concussive symptoms after mild traumatic brain injury. Education of patients and caregivers and a follow up visit if needed applied appropriate care at an early stage to minimise physical and mental problems.

Copyright © 2016 European Paediatric Neurology Society. Published by Elsevier Ltd. All rights reserved.

Language: en