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July 1969

Pediatric Head Injuries.

Arch Neurol. 1969;21(1):113. doi:10.1001/archneur.1969.00480130127015

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Injuries constitute the major cause of death in children beyond infancy. And the morbidity resulting from cerebral injury sustained at birth and throughout childhood is of considerable magnitude. Curiously, relatively limited attention has been directed toward this important health problem of children. This small monograph by Dr. John Mealey constitutes a serious effort to bring the diverse medical and surgical aspects of head injury into contemporary focus.

The book briefly reviews the basic mechanisms of head injury, concussion, contusion, and laceration. The remarkable propensity of the immature nervous system to swell rapidly and the clinical importance of this reaction is properly stressed. The place of various diagnostic procedures in the evaluation of the head injured child receives careful evaluation. Dr. Mealey considers the electroencephalogram to be of limited value in guiding treatment of the child with acute head injury. This assessment will not startle most experienced clinicians but some may

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