Decision-making process in children with severe TBI and bilateral mydriasis: An ISPN international survey including demonstrative cases

We invite ISPN membership to contribute to this survey.

Traumatic brain injury (TBI) is a significant global health issue, with an estimated 27 to 60 million new cases annually and 55 million people living with TBI-related disability. Pediatric TBI differs from adult TBI in terms of mechanism, pathophysiology, and outcome.

Despite the lack of uniformity in TBI definitions, severe TBI is routinely defined as a Glasgow Coma Scale (GCS) score < 9 in the acute setting. Although GCS was originally introduced for adults, it is now commonly used to also describe TBI severity in children.

Functional outcomes of severe pediatric TBI can be devastating, lead to chronic vegetative state, and constitute a major psychological and financial burden to children, families and society.

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