It is estimated that the functionally significant body of knowledge for a given medical specialty changes radically every 8 years. New specialties and "sub-specialization" are occurring at approximately an equal rate. Historically, established journals have not been able either to absorb this increase in publishable material or to extend their readership to the new specialists. International and national meetings, symposia and seminars, workshops and newsletters, successfully bring to the attention of physi cians within developing specialties what is occurring, but generally only in demonstration form without providing historical perspective, patho anatomical correlates, or extensive discussion. Page and time limitations oblige the authors to present only the essence of their material. Pediatric neurosurgery is an example of a specialty that has developed during the past 15 years and over this period, neurosurgeons have ob tained special training in pediatric neurosurgery and then dedicated them selves primarily to its practice. Centers, Chairs, and educational pro grams have been established as groups of neurosurgeons in different countries throughout the world organized themselves respectively into national and international societies for pediatric neurosurgery. These events were both preceded and followed by specialized courses, national and international journals, and ever-increasing clinical and investigative studies into all aspects of surgically treatable diseases of the child's ner vous system.

Head trauma in children is a major public health problem. It is a leading cause of death, and it can result in a spectrum of difficulties involving cognition, academic achievement, and social interaction. Children are evolving organisms for whom a static conceptualization of outcome may cloud the effects of traumatic brain injury. This important book explores sources of unexplained variability in outcome by developmental stage. For clinicians, the volume will provide easy access into the mainstream of research on traumatic brain injury in children, its pathophysiology, treatment, and outcome. For scientists specializing in cognition and development, and for those in the basic neurosciences, the studies of traumatic brain injury discussed in this book offer a unique opportunity to relate brain structure to patterns of behavior. Modern neurodiagnostic techniques have created new possibilities for understanding the neurological basis of the diverse behavioral deficits shown by head-injured children. The contributors of this volume not only present detailed analyses of the present state of knowledge of the diverse determinants of outcome in children with head injury, but they also emphasize the gaps and limitations in our knowledge.

Now in its third edition, this is a comprehensive survey of fetal and neonatal brain injury arising from hypoxia, ischemia or other causes. The volume spans a broad range of areas from epidemiology and pathogenesis, through to clinical manifestations and obstetric care, and then on to diagnosis, long-term outcomes, and medico-legal aspects. An important theme running throughout is to highlight scientific and clinical advances that have a role to play in minimising risk, improving clinical care and outcomes.

This book focuses on traumatic birth injuries, predominantly of the skull and brain, as well as hemorrhagic and ischemic disorders of cerebral circulation in fetuses and newborns, providing information on each condition’s classification, incidence, etiology and pathogenesis, pathomorphology, clinic, diagnostics, prognosis, and complications. It discusses the configuration (molding) of the head, venous congestion, displacements of cranial bones, ruptures of the cerebellar tentorium during labor, and the compression of the skull and brain damage caused by obstetric operations and asynclitic insertion of the head, while also describing the importance of the periosteal stagnation of the skull to assess the delivery and explanation of tentorium tears. Intracranial hemorrhages are considered in detail, taking into account the role of the traumatic factor in their occurrence and hypoxic-ischemic brain lesions (periventricular leukomalacia, selective neuronal necrosis, multicystic encephalomalacia, etc.). Lastly, it offers the world’s first explanation of why tentorium tears occur most frequently in the left half, providing an original classification of damaged tentoria, subarachnoid and intraventricular hemorrhages, and the degree of configuration of the head in childbirth. Given the depth and breadth of its coverage, the book offers an essential resource for neonatologists, obstetricians-gynecologists, perinatologists, pediatric neurologists, pathologists, pediatricians, forensic experts and neuroimaging professionals.

Adopting a multidisciplinary approach, Management of Brain-Injured Children describes the epidemiology, assessment and management of traumatic and non-traumatic brain injuries in children.

The investigation of sudden or unexplained death of children represents a unique medical and forensic area of study. Children have unique anatomic and functional characteristics that must be recognized and understood by the medical investigator. Further complicating this process is the fact that the anatomic structure, composition and function of various organs and organ systems in the pediatric population change throughout the developmental stages of childhood. The disease processes, reactions to trauma and risk factors for accidental death and homicide change from infancy through adolescence. Forensic Pathology of Infancy and Childhood provides an authoritative, comprehensive reference text devoted to the medicolegal investigation of sudden unexpected death in children. With contributions from internationally renowned experts, individual chapters focus on specific unique causes and organ systems with detailed accounts of the changes in fatal diseases, risk factors of causes of sudden death, and responses to fatal trauma that occur as a child grows from neonatal stage through infancy, toddlerhood, childhood and adolescence. This text is an essential reference resource for forensic pathologists, medical examiner offices, pediatric pathologists, pediatric hospitals, anatomic pathologists and those in training as well as those in related legal professions.