NEUROOTOLOGICAL DETECTABLE BRAIN-STEM LES ION IN MILD-TO-MODERATE CHILDHOOD BRAIN INJURY

Children with mild to moderate brain injury often show by conventional neurological and radiological primary examination no pathologic findi ngs. But follow-up controls demonstrated, that the initial neurologic damage is not always sufficiently registered. With the additional neur ootological examination is an accepted method available, which permits objective statements about lesions in the peripheral and central sens ory system. With this examination we were able to demonstrate in a def inite collective of children with mild brain injury neurological defic its in a high percentage; 40% had in impairment of the auditory system . In the course nearly all children showed a spontaneous recovery of t he sensory system. Kind and localisation of the posttraumatic lesions pointed out, that mild to moderate traumatic brain injuries in childho od predominantly yield to an indirect damage of the brainstem.