Handb Clin Neurol. 2014;121:1751-72. doi: 10.1016/B978-0-7020-4088-7.00113-9.


Neurotraumatology has its roots in ancient history, but its modern foundations are the physical examination, imaging to localize the pathology, and thoughtful medical and surgical decision making. The neurobiology of cranial and spinal injury is similar, with the main goal of therapies being to limit secondary injury. Brain injury treatment focuses on minimizing parenchymal swelling within the confined cranial vault. Spine injury treatment has the additional consideration of spinal coumn stability. Current guidelines for non-operative and operative management are reviewed in this chapter.

Keywords: Traumatic brain injury; cerebral edema; intracranial pressure; spinal cord injury; spinal instability.

Publication types

  • Review

MeSH terms

  • Brain Injuries / diagnosis
  • Brain Injuries / epidemiology
  • Brain Injuries / therapy*
  • Humans
  • Neuroimaging
  • Spinal Cord Injuries / diagnosis
  • Spinal Cord Injuries / epidemiology
  • Spinal Cord Injuries / therapy*
  • Trauma, Nervous System / diagnosis
  • Trauma, Nervous System / epidemiology
  • Trauma, Nervous System / therapy*