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Neuropsychiatric changes following penetrating head injury in children

Jetan H Badhiwala1, Janet R Blackham2, Ratan D Bhardwaj3

  • 1Michael G. DeGroote School of Medicine, McMaster University, 1280 Main St. W., Hamilton, Ontario, Canada L8S 4K1, USA.

Surgical Neurology International
|November 26, 2014
PubMed

Insights

Penetrating head injuries in children can lead to long-term behavioral changes. This case highlights the resolution of bipolar disorder and new attention deficit hyperactivity disorder after frontal lobe trauma.

Area of Science:

  • Neuroscience
  • Pediatric Neurology
  • Traumatic Brain Injury

Background:

  • Penetrating head injuries necessitate immediate neurosurgical intervention.
  • Long-term neuropsychiatric sequelae of pediatric penetrating head trauma are not well-documented.
  • Frontal lobe injuries in adults are linked to mental status changes, but data in children is limited.

Observation:

  • A 12-year-old boy sustained a penetrating head injury to the frontal lobes from a gunshot wound.
  • The patient experienced a resolution of pre-existing bipolar disorder.
  • New onset of attention deficit hyperactivity disorder was observed post-injury.

Findings:

  • Penetrating head trauma can alter pre-existing psychiatric conditions in children.
  • New-onset neurodevelopmental disorders, such as ADHD, can emerge after severe head injuries.
  • Frontal lobe damage may manifest in complex behavioral and cognitive changes.

Implications:

  • Children with penetrating head injuries require comprehensive, multidisciplinary follow-up.
  • Monitoring for and managing behavioral and neuropsychiatric sequelae is crucial.
  • Early intervention strategies are essential for optimizing outcomes in pediatric TBI survivors.
Abstract

Keywords:
Behaviorfrontal lobeneuropsychiatrypenetrating head injurytraumatic brain injury

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