Further inpatient rehabilitation therapy may be indicated to manage the acute intracranial pathology, depending on the severity of injury. If long term inpatient care is required, the patient should be transferred to a pediatric rehabilitation unit so that the patient may benefit from maximal multi-disciplinary care. Upon discharge from the hospital, the patient may require continued physical and occupational therapy. Continued follow-up with a neurologist is recommended. Closely watch for spasticity, and control with medication as needed.
Neurosurgeons tend to put all patients on prophylactic therapy.
However, this is not a universal recommendation. The main complications following SBS affect the neurologic and visual systems. Wilkinson showed that the degree of retinal hemorrhage reflected the degree of neurologic injury. Bilateral retinal hemorrhage patients tend to have more acute, severe, neurologic injury. Large subhyaloid hemorrhage, vitreous hemorrhage or diffuse involvement of the fundus are likely to be associated with severe neurologic injury.