Pediatric and Adolescent Concussion Diagnosis, Management, and Outco

 Between the growing numbers of children and adolescents playing sports and the increased attention paid to head injuries by the larger sports community and the general public, pediatric concussions are emerging as a major concern. And as practitione

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Jennifer Niskala Apps



Kevin D. Walter

Editors

Pediatric and Adolescent Concussion Diagnosis, Management and Outcomes

Editors Jennifer Niskala Apps Department of Psychiatry and Behavioral Medicine Medical College of Wisconsin

Kevin D. Walter Departments of Orthopaedics and Pediatrics Medical College of Wisconsin

Children’s Hospital of Wisconsin Milwaukee, WI, USA [email protected]

Children’s Hospital of Wisconsin Milwaukee, WI, USA [email protected]

ISBN 978-0-387-89544-4 e-ISBN 978-0-387-89545-1 DOI 10.1007/978-0-387-89545-1 Springer New York Dordrecht Heidelberg London Library of Congress Control Number: 2011941868 © Springer Science+Business Media, LLC 2012 All rights reserved. This work may not be translated or copied in whole or in part without the written permission of the publisher (Springer Science+Business Media, LLC, 233 Spring Street, New York, NY 10013, USA), except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden. The use in this publication of trade names, trademarks, service marks, and similar terms, even if they are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)

Preface

As health care providers for children, we are dedicated to giving kids of all ages the best care possible. During training, we each developed a strong interest in concussion-related concerns which peaked while treating the increasing number of children presenting in our individual practices. Upon collaborating to develop a formal clinic to attempt to best treat these children, the focus on concussion diagnosis and treatment became a passion. As with many aspects of pediatric care, not enough focused information is available to help the child and adolescent practitioner best serve this population. Through interaction with a number of other professionals, from teachers and athletic trainers to parents to pediatricians, we felt limited in our ability to provide resources and education. Thus, the idea for this book was born. It is difficult to be both comprehensive and all-inclusive in a rapidly expanding field. This is reflected even in the title of our book, which focuses on “concussion.” Use of this term is debated, with some of the authors in this book (see Chap. 2 for example) pointing out that mild traumatic brain injury (mTBI) could be considered a more appropriate term. However, we have chosen to include a wide number of opinions in this book, focusing on the use of more common terms to allow for a wide readership base. We would like this book to be useful for caregivers with significantly different backgrounds. As a result, the reader will likely note a variation in opinions and perspectives, but we felt it was important for a