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The Complex Consequences of Severe Polytrauma with Traumatic Brain Injuries Caused by a Traffic Accident in a Child: A Case Report.

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Τίτλος: The Complex Consequences of Severe Polytrauma with Traumatic Brain Injuries Caused by a Traffic Accident in a Child: A Case Report.
Συγγραφείς: Anghelina L; Department of Pediatrics, University of Medicine and Pharmacy of Craiova, 200638 Dolj, Romania., Radu L; Department of Hygiene, University of Medicine and Pharmacy of Craiova, 200638 Dolj, Romania., Gheonea C; Department of Pediatrics, University of Medicine and Pharmacy of Craiova, 200638 Dolj, Romania., Teică V; Department of Biophysics, University of Medicine and Pharmacy of Craiova, 200638 Dolj, Romania.; Department of Radiology and Medical Imaging, University of Medicine and Pharmacy of Craiova, 200638 Dolj, Romania., Anghelina AM; Medical School, University of Medicine and Pharmacy of Craiova, 200638 Dolj, Romania., Siminel MA; Department of Neonatology, University of Medicine and Pharmacy of Craiova, 200638 Dolj, Romania.
Πηγή: Children (Basel, Switzerland) [Children (Basel)] 2025 Apr 17; Vol. 12 (4). Date of Electronic Publication: 2025 Apr 17.
Τύπος έκδοσης: Case Reports; Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: MDPI AG Country of Publication: Switzerland NLM ID: 101648936 Publication Model: Electronic Cited Medium: Print ISSN: 2227-9067 (Print) Linking ISSN: 22279067 NLM ISO Abbreviation: Children (Basel) Subsets: PubMed not MEDLINE
Imprint Name(s): Original Publication: Basel, Switzerland : MDPI AG, [2014]-
Περίληψη: 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.
References: Childs Nerv Syst. 2001 Nov;17(11):670-3. (PMID: 11734985)
J Pediatr. 2000 Apr;136(4):431-2. (PMID: 10753238)
Arch Neurol. 1982 Oct;39(10):605-8. (PMID: 7125972)
Am Surg. 1999 Oct;65(10):968-71. (PMID: 10515545)
Childs Brain. 1984;11(1):12-35. (PMID: 6705608)
Value Health. 2008 Jul-Aug;11(4):742-64. (PMID: 18179668)
Acta Neurol Belg. 1977 Sep-Oct;77(5):276-84. (PMID: 412394)
Dtsch Arztebl Int. 2024 May 3;121(9):291-297. (PMID: 38471125)
Front Pediatr. 2021 Sep 03;9:721585. (PMID: 34540770)
Neurosurgery. 1997 Sep;41(3):661-7. (PMID: 9310985)
Herzschrittmacherther Elektrophysiol. 2018 Jun;29(2):204-207. (PMID: 29761336)
Clin Pediatr (Phila). 1978 May;17(5):421-2. (PMID: 648060)
J Cereb Blood Flow Metab. 2017 May;37(5):1553-1570. (PMID: 27354095)
Injury. 2009 Nov;40 Suppl 4:S12-22. (PMID: 19895948)
Injury. 2014 Oct;45 Suppl 3:S64-9. (PMID: 25284238)
Scand J Trauma Resusc Emerg Med. 2017 Apr 20;25(1):42. (PMID: 28427480)
J Neurosurg. 1987 Feb;66(2):234-43. (PMID: 3806205)
Pediatr Emerg Med Pract. 2018 Jun;15(6):1-20. (PMID: 29771484)
Lancet. 2012 Sep 22;380(9847):1088-98. (PMID: 22998718)
Pediatrics. 1970 Apr;45(4):628-35. (PMID: 4985603)
Prog Brain Res. 2016;225:3-39. (PMID: 27130409)
Pediatr Surg Int. 2015 Nov;31(11):1021-5. (PMID: 26269203)
Emerg Med Clin North Am. 1999 Feb;17(1):63-75, viii. (PMID: 10101341)
Indian J Orthop. 2018 Sep-Oct;52(5):454-461. (PMID: 30237602)
J Neurotrauma. 2013 Sep 1;30(17):1498-505. (PMID: 23570260)
J Trauma Acute Care Surg. 2014 Oct;77(4):620-3. (PMID: 25250604)
Can Fam Physician. 2012 Mar;58(3):257-67, e128-40. (PMID: 22518895)
J Clin Orthop Trauma. 2020 Dec 05;16:106-113. (PMID: 33717944)
Headache. 1997 Mar;37(3):142-52. (PMID: 9100398)
Pediatrics. 1967 Apr;39(4):563-81. (PMID: 4960778)
Int J Environ Res Public Health. 2017 Sep 11;14(9):. (PMID: 28891977)
Grant Information: N/A University of Medicine and Pharmacy of Craiova, Romania
Contributed Indexing: Keywords: case report; cranio-cerebral trauma; polytrauma; psychosocial disabilities; syncope
Entry Date(s): Date Created: 20250501 Latest Revision: 20250514
Update Code: 20260130
PubMed Central ID: PMC12025922
DOI: 10.3390/children12040516
PMID: 40310121
Βάση Δεδομένων: MEDLINE
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  Data: The Complex Consequences of Severe Polytrauma with Traumatic Brain Injuries Caused by a Traffic Accident in a Child: A Case Report.
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  Data: <searchLink fieldCode="AU" term="%22Anghelina+L%22">Anghelina L</searchLink>; Department of Pediatrics, University of Medicine and Pharmacy of Craiova, 200638 Dolj, Romania.<br /><searchLink fieldCode="AU" term="%22Radu+L%22">Radu L</searchLink>; Department of Hygiene, University of Medicine and Pharmacy of Craiova, 200638 Dolj, Romania.<br /><searchLink fieldCode="AU" term="%22Gheonea+C%22">Gheonea C</searchLink>; Department of Pediatrics, University of Medicine and Pharmacy of Craiova, 200638 Dolj, Romania.<br /><searchLink fieldCode="AU" term="%22Teică+V%22">Teică V</searchLink>; Department of Biophysics, University of Medicine and Pharmacy of Craiova, 200638 Dolj, Romania.; Department of Radiology and Medical Imaging, University of Medicine and Pharmacy of Craiova, 200638 Dolj, Romania.<br /><searchLink fieldCode="AU" term="%22Anghelina+AM%22">Anghelina AM</searchLink>; Medical School, University of Medicine and Pharmacy of Craiova, 200638 Dolj, Romania.<br /><searchLink fieldCode="AU" term="%22Siminel+MA%22">Siminel MA</searchLink>; Department of Neonatology, University of Medicine and Pharmacy of Craiova, 200638 Dolj, Romania.
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  Data: <searchLink fieldCode="JN" term="%22101648936%22">Children (Basel, Switzerland)</searchLink> [Children (Basel)] 2025 Apr 17; Vol. 12 (4). <i>Date of Electronic Publication: </i>2025 Apr 17.
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  Data: <i>Publisher: </i><searchLink fieldCode="PB" term="%22MDPI+AG%22">MDPI AG </searchLink><i>Country of Publication: </i>Switzerland <i>NLM ID: </i>101648936 <i>Publication Model: </i>Electronic <i>Cited Medium: </i>Print <i>ISSN: </i>2227-9067 (Print) <i>Linking ISSN: </i><searchLink fieldCode="IS" term="%2222279067%22">22279067 </searchLink><i>NLM ISO Abbreviation: </i>Children (Basel) <i>Subsets: </i>PubMed not MEDLINE
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  Data: 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.<br />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.<br />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.<br />Conclusions: The direct and secondary effects of the trauma have contributed to psychosocial disabilities, necessitating complex medical care and family-centered interventions.
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  Data: Childs Nerv Syst. 2001 Nov;17(11):670-3. (PMID: <searchLink fieldCode="PM" term="%2211734985%22">11734985)</searchLink><br />J Pediatr. 2000 Apr;136(4):431-2. (PMID: <searchLink fieldCode="PM" term="%2210753238%22">10753238)</searchLink><br />Arch Neurol. 1982 Oct;39(10):605-8. (PMID: <searchLink fieldCode="PM" term="%227125972%22">7125972)</searchLink><br />Am Surg. 1999 Oct;65(10):968-71. (PMID: <searchLink fieldCode="PM" term="%2210515545%22">10515545)</searchLink><br />Childs Brain. 1984;11(1):12-35. (PMID: <searchLink fieldCode="PM" term="%226705608%22">6705608)</searchLink><br />Value Health. 2008 Jul-Aug;11(4):742-64. (PMID: <searchLink fieldCode="PM" term="%2218179668%22">18179668)</searchLink><br />Acta Neurol Belg. 1977 Sep-Oct;77(5):276-84. (PMID: <searchLink fieldCode="PM" term="%22412394%22">412394)</searchLink><br />Dtsch Arztebl Int. 2024 May 3;121(9):291-297. (PMID: <searchLink fieldCode="PM" term="%2238471125%22">38471125)</searchLink><br />Front Pediatr. 2021 Sep 03;9:721585. (PMID: <searchLink fieldCode="PM" term="%2234540770%22">34540770)</searchLink><br />Neurosurgery. 1997 Sep;41(3):661-7. (PMID: <searchLink fieldCode="PM" term="%229310985%22">9310985)</searchLink><br />Herzschrittmacherther Elektrophysiol. 2018 Jun;29(2):204-207. (PMID: <searchLink fieldCode="PM" term="%2229761336%22">29761336)</searchLink><br />Clin Pediatr (Phila). 1978 May;17(5):421-2. (PMID: <searchLink fieldCode="PM" term="%22648060%22">648060)</searchLink><br />J Cereb Blood Flow Metab. 2017 May;37(5):1553-1570. (PMID: <searchLink fieldCode="PM" term="%2227354095%22">27354095)</searchLink><br />Injury. 2009 Nov;40 Suppl 4:S12-22. (PMID: <searchLink fieldCode="PM" term="%2219895948%22">19895948)</searchLink><br />Injury. 2014 Oct;45 Suppl 3:S64-9. (PMID: <searchLink fieldCode="PM" term="%2225284238%22">25284238)</searchLink><br />Scand J Trauma Resusc Emerg Med. 2017 Apr 20;25(1):42. (PMID: <searchLink fieldCode="PM" term="%2228427480%22">28427480)</searchLink><br />J Neurosurg. 1987 Feb;66(2):234-43. (PMID: <searchLink fieldCode="PM" term="%223806205%22">3806205)</searchLink><br />Pediatr Emerg Med Pract. 2018 Jun;15(6):1-20. (PMID: <searchLink fieldCode="PM" term="%2229771484%22">29771484)</searchLink><br />Lancet. 2012 Sep 22;380(9847):1088-98. (PMID: <searchLink fieldCode="PM" term="%2222998718%22">22998718)</searchLink><br />Pediatrics. 1970 Apr;45(4):628-35. (PMID: <searchLink fieldCode="PM" term="%224985603%22">4985603)</searchLink><br />Prog Brain Res. 2016;225:3-39. (PMID: <searchLink fieldCode="PM" term="%2227130409%22">27130409)</searchLink><br />Pediatr Surg Int. 2015 Nov;31(11):1021-5. (PMID: <searchLink fieldCode="PM" term="%2226269203%22">26269203)</searchLink><br />Emerg Med Clin North Am. 1999 Feb;17(1):63-75, viii. (PMID: <searchLink fieldCode="PM" term="%2210101341%22">10101341)</searchLink><br />Indian J Orthop. 2018 Sep-Oct;52(5):454-461. (PMID: <searchLink fieldCode="PM" term="%2230237602%22">30237602)</searchLink><br />J Neurotrauma. 2013 Sep 1;30(17):1498-505. (PMID: <searchLink fieldCode="PM" term="%2223570260%22">23570260)</searchLink><br />J Trauma Acute Care Surg. 2014 Oct;77(4):620-3. (PMID: <searchLink fieldCode="PM" term="%2225250604%22">25250604)</searchLink><br />Can Fam Physician. 2012 Mar;58(3):257-67, e128-40. (PMID: <searchLink fieldCode="PM" term="%2222518895%22">22518895)</searchLink><br />J Clin Orthop Trauma. 2020 Dec 05;16:106-113. (PMID: <searchLink fieldCode="PM" term="%2233717944%22">33717944)</searchLink><br />Headache. 1997 Mar;37(3):142-52. (PMID: <searchLink fieldCode="PM" term="%229100398%22">9100398)</searchLink><br />Pediatrics. 1967 Apr;39(4):563-81. (PMID: <searchLink fieldCode="PM" term="%224960778%22">4960778)</searchLink><br />Int J Environ Res Public Health. 2017 Sep 11;14(9):. (PMID: <searchLink fieldCode="PM" term="%2228891977%22">28891977)</searchLink>
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