(精编)【医学课件】 Paediatric Traumatic Brain Injury教学课件.pptVIP

Paediatric Traumatic Brain Injury Protecting our Kids. Charles H. Tator Personal Injury Lawyers Toronto April 18, 2016 ;Professor of Neurosurgery, University of Toronto DIRECTOR, CANADIAN CONCUSSION CENTRE, Krembil Research Institute, Toronto Western Hospital Founder, ThinkFirst Canada Board Member, Parachute Canada: Canada’s National Injury Prevention Charity; ;1. Definition of Concussion and the Concussion Spectrum of Disorders 2. Mechanisms of Concussion 3. The Problems of Recognition and Diagnosis of Concussions 4. Return to Play, Work or School: Guidelines 5. The Major Consequences of Concussion: Second Impact Syndrome, Post Concussion Syndrome, Mood Disorders and Brain Degeneration 6. Prevention of Concussions ; Acute Concussion Second Impact Syndrome Post Concussion Syndrome Psychological Consequences – Mood Disorders: Depression/Anxiety Brain Degeneration - Chronic Traumatic Encephalopathy (CTE), Movement Disorders, Etc. ;Similar to Concussion. Concussion is a better term. mTBI- includes a mixture of more severe injuries and focal injuries such as bruises, haemorrhages and contusions of the brain. There is nothing “mild” about concussions which can produce permanent consequences. Many members of the public now understand what a concussion is, and not even health care professionals agree on what mTBI is except that it is an oxymoron.;;Immediate and temporary alteration of mental functioning due to trauma The trauma does not have to be directly to the head, and can be due to a whiplash effect on the brain from a blow elsewhere on the body;Exact mechanism unknown Rotational acceleration more important than linear acceleration–the “jiggle” of the brain within the skull causes concussion Axonal injury may occur Probably, the first concussion is a biochemical injury NOT DUE TO Bleeding NOT DUE TO Tearing or Bruising of the brain;BRAIN MOVES WITHIN SKULL;; A genetic predisposition is suspected, but is unproven. If there is a genetic p