Diagnosis of delayed diffuse axonal İnjury
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Date
2017
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Abstract
Diffuse axonal injury is usually caused by head trauma, and patients have significant clinical symptoms during admission to the emergency department. In our case, we present a five-year-old patient who was involved in a car accident. During admission to the emergency department, the patient had no symptoms of trauma. However, 6 h after admission to emergency service, neurological symptoms occurred, and mental status changed. Diffuse axonal injury (DAI) is characterized by diffuse nerve axon injury in the brain and brainstem. This is one of the worst results of a head trauma and occurs in one-third of the patients admitted to the hospital with head trauma. In some studies, it has been reported that diffuse axonal injury is permanent in accelerated and decelerated head traumas without accompanying loss of consciousness. Neurological sequels have occurred in the recovery phase of some patients with diffuse axonal damage. In this study, we present a delayed diffuse axonal injury case accompanying a head trauma. © 2017 Elsevier Inc.
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Keywords
Accidents, Traffic , Brain Injuries, Diffuse , Child, Preschool , Electroencephalography , Humans , Magnetic Resonance Imaging , Male , Time Factors , Article , Babinski reflex , brain asymmetry , case report , child , clinical article , computer assisted tomography , corpus callosum , delayed diagnosis , diffuse axonal injury , electroencephalogram , electroencephalography , emergency health service , emergency ward , eye movement , Glasgow coma scale , hospital admission , human , male , motor system , neuroimaging , neurologic examination , nuclear magnetic resonance imaging , pediatric intensive care unit , physical examination , preschool child , priority journal , skin abrasion , speech disorder , traffic accident , traumatic brain injury , diagnostic imaging , diffuse brain injury , pathophysiology , time factor , traffic accident