article = {SCR-2019-1-101} title = {The Assessment of Cognitive Function Determines the Time of Operation of Hydrocephalus Drainage in Severe TBI} journal = {Surgical Case Reports} year = {2019} issn = {2613-5965} doi = {http://dx.doi.org/10.31487/j.SCR.2019.01.001} url = {https://www.sciencerepository.org/the-assessment-of-cognitive-function-determines-the-time-of-operation-of-hydrocephalus-drainage-in-severe_SR-SCR-2019-1-101 author = { Chunya Gu,Chengcheng Sun,Dongsheng Xu,Jian Hai,Lijuan Zhao,Naisheng Zhai,Rongjing Di,} keywords = {traumatic brain injuries (TBI), whole process rehabilitation, hydrocephalus, cognitive function, ventriculoperitoneal shunt.} abstract ={The incidence of severe traumatic brain injury (TBI) is gradually increasing, and its integrated treatment and rehabilitation in early-stage is increasingly valued by working together with doctors in surgical intensive care unit (SICU), surgeons and rehabilitation doctors. In this report, we presented a seven-year-old child was hit on the right side of the head by a falling glass from the building, causing severe TBI, starting from emergency room (ER), SICU, neurosurgery, spine surgery, whole–process and intensive rehabilitation. The child functionally regained some of his motor functions and most of his cognitive functions step by step from coma to cognition and was expected to return to his schooling finally. The authors of this report discuss the necessity and effectiveness of multidisciplinary integration and early intervention in rehabilitation. The case exhibited that multiple rehabilitation procedures would be conducted in whole process of patients with trauma. Furthermore, rehabilitation physician and therapist play critical roles in evaluation and handling of treatment strategy for precise movement and cognitive functional recovery. Particularly, the cognitive function assessment and treatment has significantly performed in making decision on the opportunity of operation of hydrocephalus. All above, the case offered the model of the integrated rehabilitation in severe TBI.}