Citation

Badhiwala JH, Blackham JR, Bhardwaj RD. Surg. Neurol. Int. 2014; 5: 154.

Affiliation

Department of Neurosurgery, Barrow Neurological Institute at Phoenix Children's Hospital, Phoenix Children's Hospital, 1919 E. Thomas Rd., Phoenix, Arizona 85006, USA.

Copyright

(Copyright © 2014, Medknow Publishing)

DOI

10.4103/2152-7806.143742

PMID

25422782

Abstract

BACKGROUND: Penetrating head injuries demand the prompt attention of a neurosurgeon. While most neurosurgical centers are experienced in the acute management of these injuries, less is known about the long-term neuropsychiatric sequelae of penetrating head trauma. In adults, direct injury to the frontal lobe classically has been associated with mental status changes. However, there is less published data in children. CASE DESCRIPTION: We report the case of a 12-year-old boy who suffered a penetrating head injury to the frontal lobes secondary to a self-inflicted gunshot wound, and experienced subsequent resolution of pre-existing bipolar disorder and new onset of attention deficit hyperactivity disorder.

CONCLUSION: Children with penetrating head injury require close multidisciplinary follow-up in order to monitor, and accordingly implement management strategies, for associated sequelae, including behavioral and neuropsychiatric changes.

Language: en