Head injury in children

Head injury in children

Head injury in children

By Dr. Ravindra Patil

Head injuries are dangerous, whether in adults or in children. Sometimes they are life threatening. It is better to consider each and every injury to the head seriously and watch out for dangerous signs. Seek medical help if in doubt.

This article focusses on head injuries in children. Right from the time a baby begins to crawl, walk and run, he or she is likely to injure itself. As children grow, they are more prone to head injuries as they are very active. Sports sometimes cause head injuries. So if your child sufferes any injury on his or head, do seek medical help. These are some of the common questions that parents ask when their child has suffered an injury on the head.

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How long after head injury can symptoms occur?

A head injury can lead to cognitive impairment. Signs and symptoms may appear at once, within 24 hours, or they may emerge days or weeks after the injury. Sometimes the symptoms are subtle.

How do you know if a bump on the head is serious?

With more severe injuries, you might notice:

  • Vision loss.
  • Slurred speech or nonsensical words.
  • An inability to understand speech.
  • Have the worst headache.

Little children are not able to express their pain, so they will cry incessantly.

 

How can I tell if a head injury is mild or severe?

There are three grades:

Grade 1: Mild, with symptoms that last less than 15 minutes and involve no loss of consciousness.

Grade 2: Moderate, with symptoms that last longer than 15 minutes and involve no loss of consciousness.

Grade 3: Severe, in which the child loses consciousness, sometimes for just a few seconds.

Does a hit on the head affect intelligence?

A concussion does not necessarily affect intelligence. Intelligence is a stable trait which includes many aspects of cognitive functioning. Following a concussion, the brain is unable to function as well as it did prior to injury

Can a head injury in children cause mental illness?

A new study reveals that approximately 1 in 5 individuals may experience mental health symptoms up to six months after mild traumatic brain injury. This means that it is necessary to take follow-up care for children with a head injury.

Can an old head injury cause problems?

Repetitive head injuries can be the result of physical abuse, car accidents and multiple falls. The child may be at risk for chronic traumatic encephalopathy [CTE] later in life. CTE and related head injuries can lead to short-term memory problems and difficulty in making reasoned judgments and decisions.

What are the symptoms of a slow brain bleed?

As more blood fills the brain or the narrow space between the brain and skull, other signs and symptoms may appear, such as: Lethargy and Seizures. Seek immediate medical attention after a blow to the head if…

  • Child loses consciousness.
  • Has a persistent headache.
  • Experiences vomiting, weakness, blurred vision, unsteadiness.

Will a CT scan show an old head injury?

Health care providers follow guidelines that recommend performing CT scans only for patients who are at higher risk for skull fractures or bleeding in the brain. Most people with head injuries do not have either of these problems, and simple concussions do not show up on a CT scan.

Should you have a CT scan after a head injury?

A CT scan is usually the best first test to use if the doctor thinks you have a skull fracture or bleeding in the brain. Your doctor should look for symptoms and ask about the accident.

How long after head injury will vomiting occur?

Vomiting can occur several days or weeks after a head injury, depending on how severe the concussion was. However, it should decrease in frequency as time passes. If it does not decrease, you must seek medical help immediately.

How do I know if my toddler is OK after a fall?

If a child is less than two years of age and sustains a fall more than three feet, or if a child is over two years of age and has sustained a fall more than five feet, a trip to a brain hospital is recommended. Remember, children cannot tell exactly how they feel and what is happening to them.

Can a toddler get brain damage from hitting their head?

A head injury can be as mild as a bump, bruise (contusion), or cut on the head. Or it can be a concussion, a deep cut or open wound, broken skull bones, internal bleeding, or damage to the brain. Head injuries are one of the most common causes of disability and death in children. So toddler should be given the benefit of expert care if they sustain a head injury.

Can a brain injury cause personality disorder?

Traumatic Brain Injuries [TBI] Can Cause Behavioural Problems and Personality Disorders [PD]. The most common post-TBI PDs were: borderline, avoidant, paranoid, obsessive-compulsive and narcissistic. Men were more likely to be diagnosed with antisocial PD and narcissistic PD.

Can you develop ADHD after a concussion?

ADHD means Attention-Deficit / Hyperactivity Disorder. If the child’s symptoms exist from childhood, and there is a history of concussion from childhood, then ADHD and post-concussion syndrome are both possible. If the child’s symptoms existed in childhood but worsened after a head injury in adulthood, then ADHD and post-concussion syndrome are both possible.

How do brain injuries affect Behaviour?

Brain injuries can have significant effects on behaviour, impacting impulse control and self-awareness. These effects stem from damage to areas of the brain that regulate emotions and impulses and include anger, impulsive behaviour, self-centeredness, impaired awareness and even violence.

What is the most common complication of a head injury?

The most common short-term complications associated with TBIs include cognitive impairment, difficulties with sensory processing and communication, immediate seizures, hydrocephalus, cerebrospinal fluid (CSF) leakage, vascular or cranial nerve injuries, tinnitus, organ failure, and polytrauma.

What are at least symptoms of mild traumatic brain injury [TBI]?

Thinking and Remembering, Dizziness or balance problems, Feeling slowed down, Sleeping more than usual, Feeling tired, Trouble falling asleep, Headaches, Problems with short- or long-term memory, Nausea or vomiting (early on), Trouble thinking clearly.

What are the 4 types of traumatic brain injuries?

Types of traumatic brain injuries include:

  • A concussion is a minor brain injury that is caused by an impact to the head, shaking, or a sudden change in movement, like whiplash. …
  • Brain Contusions. …
  • Penetrating Brain Injuries. …
  • Anoxic Brain Injuries.

What are the characteristics of head injury?

  • Loss of consciousness from several minutes to hours.
  • Persistent headache or headache that worsens.
  • Repeated vomiting or nausea.
  • Convulsions or seizures.
  • Dilation of one or both pupils of the eyes.
  • Clear fluids draining from the nose or ears.
  • Inability to awaken from sleep.

What part of the head is most prone to concussions?

The parts of the brain that are most commonly affected in traumatic brain injury are the frontal and temporal lobes. And part of the reason for that is that they’re up against bone, and it’s fairly rigid and rough bone.

How do you diagnose a concussion in a child?

  • Headache or a feeling of pressure in the head.
  • Nausea or vomiting.
  • Balance problems or dizziness.
  • Double or blurry vision.
  • Sensitivity to light or noise.
  • Feeling fatigued, sluggish, groggy or dazed.
  • Difficulty paying attention.
  • Memory problems.

How do you check for brain damage?

A CT scan uses a series of X-rays to create a detailed view of the brain. A CT scan can quickly visualize fractures and uncover evidence of bleeding in the brain (haemorrhage), blood clots (hematomas), bruised brain tissue (contusions), and brain tissue swelling. Magnetic resonance imaging (MRI)

Can a childhood head injury cause problems years later?

New research led by the Perelman School of Medicine at the University of Pennsylvania shows that a single head injury could lead to dementia later in life. This risk further increases as the number of head injuries sustained by an individual increases.

How do I know if my child's head injury is serious?

The following are signs of a more serious injury: A constant headache, particularly one that gets worse. Slurred speech or confusion. Dizziness that does not go away or happens repeatedly. Extreme irritability or other abnormal behaviour.

How do you know if the brain is bleeding after head injury?

Sharp and painful headaches, along with confusion, are often the first signs of brain bleeding. However, https://buketio.com.ua/  the symptoms often depend on the bleed’s location. If you recently suffered from brain trauma and begin experiencing different or worsening symptoms, seek emergency medical help immediately.

How do eyes check for concussion?

One simple concussion assessment test is to shine a low-beam flashlight from the outer edge of each eye inward. Pupils should quickly get smaller (constrict) in response to the light. A slow pupil response to light may be a sign of brain injury (increased intracranial pressure or ICP).

Parkinson’s Disease – 1

पार्किन्सन/what is Parkinson's disease? - Samarth

Parkinson’s Disease – 1

Overview

Parkinson’s is a progressive nervous system disease that affects movement, expression, speed and so on. Symptoms start gradually and slowly increase. 

Although Parkinson’s disease can’t be cured, medications greatly help improve symptoms. Rarely, surgery may help reduce symptoms.

Parkinson’s disease is named after the English physician James Parkinson, who in 1817 published a comprehensive description of a disease called the Shaking Palsy or Paralysis Agitans. 

Table of Contents

Symptoms

  • Tremor or shaking begins in a limb, hand or fingers, even at rest. You may rub your thumb and forefinger back and forth, known as a pill-rolling tremor. 
  • Movements are slowed. This makes simple tasks difficult. Steps may become shorter while walking. Difficult in getting out of a chair. Patient’s feet may drag.
  • Rigid muscles, they can be painful. Range of motion is limited.
  • Impaired posture and balance. Posture may be stooped, may have balance problems.
  • Loss of automatic movements like blinking, smiling or swinging arms while walking.
  • Patients speak softly, monotonously, quickly, slur or hesitate before talking. 
  • It becomes hard to write.

Stages of Parkinson’s Disease

  • Symptoms are mild, do not interfere with life.
  • Daily activities are difficult and take more time.
  • The patient loses balance, moves slowly, and falls often. Daily activities like dressing, eating, and brushing teeth are impaired.
  • The patient needs assistance while walking and for daily activities.
  • The patient is unable to walk and needs full-time assistance for living.

When to see a doctor

If you are above 60, see your doctor if you have any of the above symptoms, see a doctor.

Causes of Parkinson’s Disease

Certain neurons [nerve cells] in the brain break down or die. Many of the symptoms are due to a loss of neurons that produce a chemical messenger in your brain called dopamine. When dopamine levels decrease, it causes abnormal brain activity, leading to impaired movement and other symptoms of Parkinson’s disease.

The cause of Parkinson’s disease is unknown, but several factors play a role.

  • Specific genetic mutations can cause Parkinson’s disease. 
  • Exposure to certain toxins may increase the risk of Parkinson’s disease.
  • The presence of Lewy bodies holds an important clue to the cause of Parkinson’s disease. 

Risk factors

  1. Risk increases with age. Most people are affected at 60 years or older.
  2. A close relative with Parkinson’s disease increases the chances that you’ll develop the disease.
  3. Sex: Men are more likely to develop Parkinson’s disease than women. 
  4. Exposure to toxins. 
  5. When compared to Parkinson’s disease(PD)-free individuals with no seizure-provoking conditions, those with concomitant neurological illnesses had the highest risk of epileptic seizures.

Complications

There are many complications, but they may be treatable:

  • Thinking difficulties, dementia
  • Depression and emotional changes.
  • Emotional changes: fear, anxiety, or loss of motivation. 
  • Chewing and eating problems, choking, and poor nutrition.
  • Swallowing problems, drooling.
  • Sleep problems, falling asleep during the day.
  • Inability to control urine, difficulty in urinating.
  • Constipation, is due to a slower digestive tract.
  • Orthostatic hypotension: feeling dizzy or lightheaded when patients stand up due to a sudden drop in blood pressure. 
  • Problems with your sense of smell.
  • Fatigue, especially later in the day. 
  • Pain in anywhere.
  • Decrease in sexual desire or performance.

Prevention

As the cause of Parkinson’s is unknown, ways to prevent the disease also remain a mystery.

Regular aerobic exercise might reduce the risk of Parkinson’s disease.

People who consume caffeine in coffee, tea, green tea, and cola have a reduced risk of Parkinson’s disease.

Diagnosis

No specific test exists to diagnose Parkinson’s disease. Brain specialists [neurologists, neurosurgeons] diagnose Parkinson’s disease based on the patient’s medical history, a review of signs and symptoms, and a neurological and physical examination.

Lab tests are done to rule out other conditions that have similar symptoms to Parkinson’s.

Special scans like SPECT or a dopamine transporter scan [DaTscan] tests can help. Other scans such as MRI, ultrasound of the brain, and PET scans may be used to help rule out other disorders. However, imaging tests aren’t particularly helpful for diagnosing Parkinson’s disease.

In addition to testing, Parkinson’s disease medications are given in a sufficient dose and if the patient benefits, the diagnosis of Parkinson’s can be confirmed. 

Sometimes it takes time to diagnose Parkinson’s disease. Doctors may recommend regular follow-up appointments with neurologists to evaluate the patient’s condition and symptoms over time and diagnose Parkinson’s disease.

Treatment

Parkinson’s disease can’t be cured, but medications can help control your symptoms, often dramatically. In some more advanced cases, surgery may be advised.

The doctor may also recommend lifestyle changes, especially aerobic exercise. In some cases, physical therapy that focuses on balance and stretching also is also useful and important. Speech and language therapists may help improve speech problems.

Medications

Medications may help you manage problems with walking, movement, and tremor. These medications increase or are a substitute for dopamine.

People with Parkinson’s disease have low brain dopamine concentrations. However, dopamine can’t be given directly as a medicine, as it can’t enter the brain. Hence medicines that enter the brain and increase dopamine or are dopamine replacements are given.

Significant improvements in symptoms occur after beginning Parkinson’s disease treatment. However, over time, the benefits of drugs gradually diminish or become less consistent. Yet usually symptoms are controlled fairly well.

Some of the Parkinson’s Medicines

Carbidopa-levodopa. Levodopa, the most effective Parkinson’s disease medication, is a natural https://popcake.com.ua chemical that passes into your brain and is converted to dopamine.

Levodopa is combined with carbidopa (Lodosyn), which protects levodopa from early conversion to dopamine outside your brain. This prevents or lessens side effects such as nausea.

Side effects may include nausea or light-headedness (orthostatic hypotension).

After many years, as the disease progresses, the benefit from levodopa may become less stable, with a tendency to wax and wane.

Involuntary movements (dyskinesia) may occur after taking higher doses of levodopa. Hence doctors lessen the dose of medicines to control these side effects.

Inhaled carbidopa-levodopa is also used. It may be helpful in managing symptoms that arise when oral medications suddenly stop working during the day.

Carbidopa-levodopa infusion is made up of carbidopa and levodopa. However, it’s administered through a feeding tube that delivers the medication in a gel form directly to the small intestine. It is for patients with advanced Parkinson’s who still respond to carbidopa-levodopa, but who have a lot of fluctuations in their response. As this combination is infused slowly and continually infused, blood levels of the two drugs are fairly steady.

The tubes delivering the drugs are placed via a small surgical procedure. Risks associated with having the tube include the tube falling out or infections at the infusion site.

Instead of Dopamine, drugs very similar to Dopamine, called Dopamine agonists are used. Unlike levodopa, dopamine agonists don’t change into dopamine. Instead, they mimic dopamine effects in the human brain. They aren’t as effective as levodopa in treating symptoms. However, they last longer and may be used with levodopa to smooth the sometimes “ups and downs” effect of levodopa.

Dopamine agonists include pramipexole, ropinirole and rotigotine patch. Apomorphine is a short-acting injectable dopamine agonist used for quick relief.

Some of the side effects of dopamine agonists are similar to the side effects of carbidopa-levodopa. They can include hallucinations, sleepiness and compulsive behaviours such as hypersexuality, gambling and eating. So patients on these medications must be observed if they are behaving out of character for you, and the treating doctor must be informed.

MAO B inhibitors like include selegiline, rasagiline, and safinamide are useful. They help prevent the breakdown of brain dopamine by inhibiting the brain enzyme monoamine oxidase B (MAO B). This enzyme metabolizes brain dopamine. Selegiline given along with levodopa may help prevent wearing-off of levodopa.

Side effects of MAO B inhibitors may include headaches, nausea or insomnia. When added to carbidopa-levodopa, these medications increase the risk of hallucinations.

Catechol O-methyltransferase (COMT) inhibitors. Examples are Entacapone and Opicapone. They mildly prolong the effect of levodopa therapy. Side effects are an increased risk of involuntary movements (dyskinesia), diarrhoea, nausea or vomiting.

Anticholinergics medications were used for many years to help control the tremor associated with Parkinson’s disease. Examples are benztropine and trihexyphenidyl. 

Amantadine is used for short-term relief of symptoms of mild, early-stage Parkinson’s disease. It may also be given with carbidopa-levodopa therapy during the later stages of Parkinson’s disease to control involuntary movements (dyskinesia).

We will discuss surgical treatment for Parkinson’s disease and how to cope with Parkinson’s disease as a patient and as a family member or friend.

Never Ignore a Head Injury

A head injury is any injury to the brain, skull, or scalp. It may be a mild bump, bruise or a skull fracture involving brain injury. A lump on head because of an injury is called a concussion, cut scalp injuries are called scalp wounds. Broken skull bones are called skull fractures.