Inflicted traumatic brain injury: relationship of developmental outcome to severity of injury

Pediatr Neurosurg. 1999 Nov;31(5):251-8. doi: 10.1159/000028872.


Inflicted traumatic brain injury (TBI) is a frequent consequence of physical child abuse in infants and children. Twenty-eight children who were 2-42 months of age when hospitalized for moderate to severe TBI were enrolled in a prospective, longitudinal study of neurobehavioral outcome following acquired brain injury. Relative to a comparison group, the children with inflicted TBI had significant deficits in cognitive, motor and behavioral domains when assessed with the Bayley Scales of Infant Development-II 1 and 3 months after the injury. Nearly half of the injured children showed persisting deficits in attention/arousal, emotional regulation and motor coordination. Greater injury severity, as indicated by lower coma scale scores, longer periods of unconsciousness and the presence of edema/cerebral infarctions was associated with poorer outcomes in all domains.

Publication types

  • Comparative Study
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Battered Child Syndrome / complications*
  • Battered Child Syndrome / physiopathology
  • Brain Injuries / classification
  • Brain Injuries / complications*
  • Brain Injuries / etiology*
  • Brain Injuries / physiopathology
  • Cerebral Infarction / complications
  • Cerebral Infarction / etiology
  • Child Development*
  • Cognition
  • Developmental Disabilities / etiology*
  • Developmental Disabilities / physiopathology
  • Female
  • Humans
  • Infant
  • Infant Behavior
  • Longitudinal Studies
  • Male
  • Motor Skills
  • Neuropsychological Tests
  • Prospective Studies
  • Trauma Severity Indices