This is the discipline that deals with the nervous system that becomes impacted by trauma apart from the central nervous system the autonomic nervous system ans is closely related to how our bodies respond to stress and trauma on an emotional and physiological level. Central nervous system cns trauma remains a significant global health epidemic a 2016 analysis based on the global burden of disease study estimated that close to 27 million new cases of traumatic brain injury tbi and 1 million new cases of spinal cord injury sci occur globally each year. Central nervous system trauma can result in childhood visual loss by direct injury to virtually any segment of the visual pathway. Trauma of the central nervous system in children hendrick eb hoffman hj humphreys rp in summary the care of the patient with head trauma is not dissimilar to any other acutely ill individuals careful systematic observation and recording of