Chapter 13. Mild Traumatic Brain Injury

  1. Nils Erik Gilhus MD, PhD Professor14,
  2. Michael P. Barnes MD, FRCP Professor of Neurological Rehabilitation Medical Director15 and
  3. Michael Brainin MD Professor16
  1. P. E. Vos1,
  2. Y. Alekseenko2,
  3. L. Battistin3,
  4. E. Ehler4,
  5. F. Gerstenbrand5,
  6. D. F. Muresanu6,7,
  7. A. Potapov8,
  8. Ch. A. Stepan9,
  9. P. Traubner10,
  10. L. Vecsei11 and
  11. K. von Wild12,13

Published Online: 6 SEP 2010

DOI: 10.1002/9781444328394.ch13

European Handbook of Neurological Management, Second Edition, Volume 1, Second Edition

European Handbook of Neurological Management, Second Edition, Volume 1, Second Edition

How to Cite

Gilhus, N. E., Barnes, M. P. and Brainin, M. (2010) Mild Traumatic Brain Injury, in European Handbook of Neurological Management, Second Edition, Volume 1, Second Edition, Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444328394.ch13

Author Information

  1. 14

    Department of Clinical Medicine, University of Bergen and Department of Neurology, Haukeland University Hospital, Bergen, Norway

  2. 15

    University of Newcastle, Hunters Moor Neurorehabilitation Ltd, Newcastle upon Tyne, UK

  3. 16

    Department of Clinical Medicine and Prevention, and Center for Clinical Neurosciences, Donau-Universität Krems, Department of Neurology, Landesklinikum Donauregion Tulln Tulln, Austria

Author Information

  1. 1

    Radboud University Nijmegen Medical Centre, The Netherlands

  2. 2

    Vitebsk Medical University, Vitebsk, Belarus, USA

  3. 3

    Clinica Neurologica I, Padova, Italy

  4. 4

    Neurologicka Klinika, Pradubice, Czech Republic

  5. 5

    Ludwig Boltzmann Institute for Restorative Neurology and Neuromodulation, Vienna, Austria

  6. 6

    University CFR Hospital, University of Medicine, Romania

  7. 7

    Pharmacy ‘Iuliu Hatieganu’ Cluj-Napoca, Romania

  8. 8

    Institute of Neurosurgery, Russian Academy of Medical Sciences, Moscow, Russia

  9. 9

    Neurological Hospital Rosenhügel, Vienna, Austria

  10. 10

    Comenius University School of Medicine, Bratislava, Slovak Republic

  11. 11

    Szent-Györgyi University Hospital, Szeged, Hungary

  12. 12

    Medical Faculty Westphalien University Münster, Germany

  13. 13

    International Neuroscience Institute INI, Hannover, Germany

Publication History

  1. Published Online: 6 SEP 2010
  2. Published Print: 15 OCT 2010

ISBN Information

Print ISBN: 9781405185332

Online ISBN: 9781444328394



  • mild traumatic brain injury;
  • traumatic brain injury (TBI), sudden impact or acceleration deceleration trauma of head - the most frequent neurological disorders;
  • classification of traumatic brain injury - and indication for immediate head CT;
  • systematic search of English literature - in MEDLINE, EMBASE, Cochrane database;
  • Chalice rule, describing criteria for use of CT - that may be applicable in all children 0–17 years of age;
  • Advanced Trauma Life Support (ATLS) and Advanced Pediatric Life Support (APLS) guidelines;
  • MTBI, CT to decide if patients should be admitted - or transferred to a neurosurgical centre or discharged home;
  • decision scheme for initial management - in mild traumatic brain injury;
  • careful neurological examination - assessment of trauma history and extensive use of CT;
  • use of a clinical decision rule for CT - and hospital admission after MTBI, confirmed


This chapter contains sections titled:

  • Introduction

  • Search strategy

  • Clinical decision rules for CT

  • Initial patient management

  • Home discharge

  • Clinical observation

  • Follow-up

  • Conclusions

  • References