long-term symptoms- Corriere.it

from Cristina Marrone

An Israeli study reports that sometimes disorders appear after a while, which can lead to thinking about different problems and confuse diagnosis and related treatments

Every fourth child is discharged from an emergency room after one mild head injury suffer from what has been dubbed chronic post-concussion syndrome, i.e long-term after-effects after concussionwhich manifests with memory problems, sensitivity to light and the noise, dizziness, psychological problems, psychological problems often misdiagnosed as attention deficit disorder, depression, sleep disorders.

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the alarming conclusion of a Tel Aviv University study published in the journal Scientific reportsas involved 205 children between the ages of 8 and 15, victims of a minor head injury and discharged within 48 hours after undergoing a brain scan. The control group involved an additional 205 children, but in this case followed to the emergency room for non-complex fractures of the arm. All were followed for between 6 months and 5 years and the parents were interviewed to identify any symptoms attributable to chronic post-concussion syndrome, which appeared in 25% of the boys who had sustained head trauma and in only 2.4% of the control group. Children and adolescents with diagnosed psychiatric or psychological problems were excluded from the study.

Problems attributable to trauma

What beats it there was no correlation between the time elapsed since the trauma with the identification of symptoms of post-concussion syndrome. This may explain the fact that disorders can occur even after months or even years, he comments Marco Locatelli, neurosurgeon, director of the complex operating unit for neurosurgery at the Milan Polyclinic and lecturer at the University of Milan. At the hospital, we neurosurgeons focus on acute incidents when the child hits their head, and in fact, when the trauma is resolved without immediate consequences, the investigation is finished for us. This research instead tells us an interesting thing, and that is do not stop at the acute event, but keep in mind that various problems may arisebut it is still attributed to trauma, which perhaps even many parents no longer think about. Know the cause of the problem it can be useful to offer these children extra help, without neglecting or not emphasizing the symptoms they suffer from.

Micro damage to blood vessels difficult to diagnose

Indeed, the aim of the Israeli researchers was to investigate a little-known problem, bearing in mind that traumatic brain injury is one of the most common reasons for access to emergency rooms worldwide, with 150-400 visits per year. hundred thousand inhabitants. Professor Shai Efratineuroscientist at Tel Aviv University, among the authors of the research, explains: Persistent post-concussion syndrome is a chronic syndrome caused by micro damage to blood vessels
and nerves, which can also spread several months after the head injury. This is why it is often misdiagnosed as an attention deficit or a sleep disorder, and as a result children are exposed to unnecessary therapies, if it is not harmful. There are children who report constant headaches, problems with concentration and continue to suffer for years. In contrast to injuries to the great arteries, these microbrain injuries come diagnosed with difficulties with normal MRI, but specific functional tests are required. It must be understood that loss of any brain function will prevent the child from reaching their potential in both school and social life, adds Dr. Uri Bella, director of the pediatric emergency room at Kaplan Medical Center in Israel. For this reason, parents should report to doctors any head trauma suffered by their children, even mild, if neurological symptoms occur, which most of the time lead to thinking about an attention deficit.

August 1, 2022 (change August 1, 2022 | 19:55)

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