Neurotrauma Clinic
Neurotrauma Clinic at Nafaur’s Neurocare
The Neurotrauma Clinic at Nafaur’s Neurocare provides pediatric neurosurgical evaluation and follow-up guidance for newborns, infants, children, and adolescents with head injuries, brain injuries, skull fractures, and spinal injuries.
Pediatric neurotrauma refers to injuries affecting the brain, skull, scalp, spine, spinal cord, or nerves. These injuries may occur after falls, road traffic accidents, sports injuries, household accidents, or birth-related trauma.
A child’s brain and nervous system are still developing. Therefore, head and spine injuries need careful assessment. Some children recover with observation, while others may need emergency treatment, imaging, surgery, or rehabilitation.
Common Types of Pediatric Neurotrauma
The Neurotrauma Clinic evaluates children with different types of head, brain, and spine injuries, including:
- Pediatric head injury
- Traumatic brain injury (TBI)
- Skull fracture
- Depressed skull fracture
- Growing skull fracture
- Scalp hematoma and swelling
- Extradural hematoma
- Subdural hematoma
- Brain contusion
- Traumatic intracranial hemorrhage
- Cerebral edema or brain swelling
- Diffuse axonal injury
- Post-traumatic seizure
- Post-traumatic hydrocephalus
- Pediatric spinal injury
- Spinal cord injury
- Birth-related neurological trauma
Common Causes of Neurotrauma in Children
Children may experience neurotrauma due to several types of accidents and injuries, such as:
- Falling from a bed, chair, or stairs
- Falling from a height
- Road traffic accidents
- Motorcycle or bicycle accidents
- Sports and playground injuries
- School and household accidents
- Direct impact to the head
- Neck or back injuries after a fall
- Birth-related trauma
Even if an injury appears minor, parents should observe the child’s condition carefully. Babies and young children may not be able to explain pain, dizziness, or other symptoms clearly.
Warning Signs After a Child’s Head Injury
Parents should seek urgent medical assessment if a child develops:
- Repeated vomiting
- Loss of consciousness
- Seizures
- Severe or worsening headache
- Unusual sleepiness or confusion
- Abnormal behaviour or excessive irritability
- Weakness in an arm or leg
- Difficulty walking or maintaining balance
- Unequal pupil size
- Bleeding or clear fluid from the nose or ear
- Increasing scalp swelling
- Neck pain or back pain after trauma
In babies, warning signs may include poor feeding, unusual crying, excessive sleepiness, vomiting, seizures, or reduced movement.
A child with loss of consciousness, repeated vomiting, seizure, worsening drowsiness, or new weakness needs emergency medical care. Do not wait for a routine appointment.
Diagnosis and Assessment
Evaluation begins with the child’s injury history, symptoms, and neurological examination. The doctor considers the type of accident, the child’s age, and the severity of symptoms.
Depending on the injury, investigations may include:
- CT scan of the brain
- MRI of the brain
- Skull or spine X-rays when indicated
- MRI of the spine
- Other tests based on clinical findings
CT scans are often used in acute head injuries when urgent assessment of bleeding or skull fractures is needed. MRI may help evaluate selected brain and spinal injuries.
Not every child needs imaging. The decision depends on the clinical examination and injury details.
Pediatric Neurotrauma Treatment Guidance
Treatment depends on the type and severity of the injury. Some children may need careful observation and follow-up. Others may require hospital admission, medication, intensive monitoring, or neurosurgical intervention.
Surgery may be considered for selected conditions, such as:
- Depressed skull fracture
- Extradural hematoma
- Subdural hematoma
- Significant traumatic brain bleeding
- Selected cases of brain swelling
- Growing skull fracture
- Post-traumatic hydrocephalus
- Spinal cord compression
The treatment plan must be based on the child’s condition, examination, and imaging findings. Emergency injuries require assessment at an appropriate emergency facility.
Recovery and Rehabilitation After Neurotrauma
Recovery can vary depending on the severity and location of the injury. Some children recover quickly, while others need longer-term support.
Follow-up may include monitoring of:
- Limb strength and movement
- Walking and balance
- Speech and communication
- Seizure control
- Headache and dizziness
- Memory, learning, and behaviour
- Bladder and bowel function
- Developmental progress
Depending on the child’s needs, physiotherapy, speech therapy, developmental support, and rehabilitation may be recommended.
Long-Term Follow-Up After Head and Brain Injury
Some children develop ongoing symptoms after head injury. These may include headaches, seizures, sleep difficulties, weakness, learning problems, behavioural changes, or developmental concerns.
Regular follow-up helps assess recovery and identify complications. Children with spinal injuries may also need monitoring of movement, sensation, posture, and bladder-bowel function.
Neurotrauma Consultation at Nafaur’s Neurocare
Nafaur’s Neurocare provides pediatric neurosurgical consultation for children with head injury, brain injury, skull fracture, spinal injury, and trauma-related neurological conditions.
Dr. Md. Nafaur Rahman provides specialist consultation and guidance for relevant pediatric brain, spine, and nerve conditions. The clinic supports clinical assessment, imaging review, treatment discussions, follow-up planning, and rehabilitation guidance when needed.
For more information, visit the Neurotrauma Clinic at Nafaur’s Neurocare.
To arrange a consultation, visit the Book an Appointment page.
For additional information about childhood head injuries, visit the CDC – Heads Up.