Children’s Brain Injury

Children’s brain injuries remain the leading cause of death for children in the United States and more than 1.7 million brain injuries occur per year. Children’s of Alabama is the only level 1 pediatric trauma center in the state of Alabama and as such is a major referral center for children who have suffered from trauma. COA/UAB pediatric neurosurgeons have extensive experience and expertise in the management of severe head injuries in children. A multi-disciplinary approach with colleagues in the Division of Pediatric (Trauma) Surgery and Pediatric Critical Care Medicine is emphasized acutely to assure comprehensive state of the art care for children. The Benjamin Russell Hospital for Children features state of the art operative suites and advanced monitoring capabilities for intra-cranial pressure and other critical body system monitoring within the 25 bed Pediatric Intensive Care Unit. Seamless transition to the Division of Pediatric Physical Medicine and Rehabilitation (PM and R)  is accomplished after the child’s overall situation is stabilized and longer term care is initiated.

Think First is a head injury prevention program initiated by the Congress of Neurological Surgeons and American Association of Neurological Surgeons that utilizes evidence based programs to help people learn to reduce their risk for injury.

Minor Head Injury and Concussion
There is a growing awareness of the significance of concussive head injury in children and young athletes and a growing concern over the severity of injury associated with serially recurring concussive injury. Dr. James Johnston is working cooperatively with engineers at UAB and other universities to measure forces associated with collisional sport activities and develop improved protective equipment. These efforts are shared with members of the UAB Division of Sports Medicine. A weekly concussion clinic is staffed by the division of Sports Medicine with pediatric neurosurgeons available for consultation for the most serious injuries.

Sub-Specialty Interests
James Johnston, MD

Links
NINDS-head injury
The Concussion Clinic at Children’s Hospital
UAB Division of Pediatric Physical Medicine and Rehabilitation

Video
Concussions
Children’s of Alabama Concussion Summit

Publications

Rozzelle CJ, Aarabi B, Dhall SS, Gelb DE, Hurlbert RJ, Ryken TC, Theodore N, Walters BC, Hadley MN. Management of pediatric cervical spine and spinal cord injuries. Neurosurgery. 2013 Mar;72 Suppl 2:205-26.

Dhall SS, Hadley MN, Aarabi B, Gelb DE, Hurlbert RJ, Rozzelle CJ, Ryken TC, Theodore N, Walters BC. Nutritional support after spinal cord injury.Neurosurgery. 2013 Mar;72 Suppl 2:255-9.

Dhall SS, Hadley MN, Aarabi B, Gelb DE, Hurlbert RJ, Rozzelle CJ, Ryken TC, Theodore N, Walters BC. Deep venous thrombosis and thromboembolism in patients with cervical spinal cord injuries. Neurosurgery. 2013 Mar;72 Suppl 2:244-54.

Aarabi B, Hadley MN, Dhall SS, Gelb DE, Hurlbert RJ, Rozzelle CJ, Ryken TC,Theodore N, Walters BC. Management of acute traumatic central cord syndrome (ATCCS). Neurosurgery. 2013 Mar;72 Suppl 2:195-204.