🧠 Chapter 750 · Rehabilitation for Traumatic Brain Injury

Nelson Textbook of Pediatrics 22nd Edition | TBI rehabilitation: disorders of consciousness (coma, unresponsive wakefulness syndrome, minimally conscious state), cognitive-behavioral disorders (Rancho Los Amigos Scale, agitation management), posttraumatic seizures (PTS), paroxysmal sympathetic hyperactivity (PSH), spasticity, neuroendocrine disorders, outcome predictors (GCS, posttraumatic amnesia, nonaccidental trauma).

🌐 paeds.online — Pediatric Learning Platform

📋 30 Clinical Scenarios — Pediatric TBI Rehabilitation

📇 High‑Yield Review Cards

🩺 Clinical Recognition: TBI Rehabilitation

Select a post-TBI scenario to review diagnostic pearls and management (Nelson Ch 750).

📋 Stepwise Management of Pediatric TBI Rehabilitation

🔑 Key Principles — Chapter 750
• Disorders of consciousness: Coma → Unresponsive wakefulness syndrome → Minimally conscious state (MCS). Neurostimulators: amantadine, methylphenidate, L-dopa. Sleep hygiene, melatonin/trazodone for sleep-wake cycle.
• Agitation / cognitive-behavioral: Reduce environmental stimulation first. Physical restraint last resort. Rancho Los Amigos Scale. Avoid posttraumatic amnesia barriers → Children’s Orientation and Amnesia Test.
• Posttraumatic seizures (PTS): Prophylaxis x7 days with antiepileptic (no benefit beyond 1 wk). Risk factors: severe TBI, penetrating injury, subdural hematoma, age <5y.
• Paroxysmal sympathetic hyperactivity (PSH): Hyperthermia, tachycardia, tachypnea, diaphoresis, dystonia. Use PSH-AM scale. Treatment: bromocriptine, propranolol, clonidine, gabapentin, morphine.

    ⚡ Reflex Prompts — TBI Rehabilitation Decisions

    📖 Summary: TBI Rehabilitation (Nelson 750)