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Published on: August 16, 2019
The Complex Consequences of Severe Polytrauma with Traumatic Brain Injuries Caused by a Traffic Accident in a Child:
Liliana Anghelina1, Lucrețiu Radu2, Cristian Gheonea1
1Department of Pediatrics, University of Medicine and Pharmacy of Craiova, 200638 Dolj, Romania.
Insights
Polytrauma and traumatic brain injuries can lead to long-term neurological issues and psychosocial disabilities in children. Prompt, family-centered interventions are crucial for managing these complex cases.
Area of Science:
- Pediatric Traumatology
- Neuroscience
- Public Health
Background:
- Polytrauma is a leading global cause of mortality.
- Traumatic brain injuries (TBIs) exacerbate polytrauma risks.
- Significant psychosocial morbidity and disability are associated with polytrauma.
Background:
Polytrauma is one of the three leading causes of mortality worldwide and a major contributor to psychosocial morbidity and disability. Concomitant traumatic brain injuries further increase this risk.
Methods:
We present the case of a 6-year-old child who sustained significant trauma in a road accident, resulting in injuries to multiple anatomical regions, including the central nervous system.
Results:
Two years after the accident, the child experiences brief episodes of decreased visual acuity, dizziness, nausea, pallor, and headaches, along with occasional migraines that resolve spontaneously. Additionally, the child struggles with school adjustment. Brain injuries associated with polytrauma are crucial prognostic factors in both the short and long term, influenced by the brain's reactivity and recovery capacity. There is also an increased risk of developing syncopal episodes, seizures, and other neurological manifestations.
Conclusions:
The direct and secondary effects of the trauma have contributed to psychosocial disabilities, necessitating complex medical care and family-centered interventions.
