Imaging Evaluation to Determine the Timing of Early Rehabilitation in Pediatric Non-Traumatic Acquired Brain Injury: A Case Report

Determining the optimal timing for the initiation of early rehabilitation in pediatric non-traumatic acquired brain injury (ABI) remains challenging, largely because the onset of injury is often difficult to identify, particularly in infancy. We report the case of a 1-year-old boy with non-traumatic ABI of uncertain onset, in whom mobilization was initiated more than 24 hours after an imaging-based diagnosis. Neurorehabilitation, consisting primarily of active practice, was implemented safely, with no adverse events or neurological deterioration during the intervention. This case suggests that imaging-based assessment may serve as an adjunctive objective reference for determining the timing of early rehabilitation in pediatric non-traumatic ABI.