[The neurological and ophthalmic symptoms in the child after the serious head injury due to the fall from the fifth storey. A case report].
BACKGROUND
The prognosis in the case of head injury may be different, Serious head injures are the leading causes of the death. In the remaining cases, the child recovers entirely, or disturbances of the cognitive and motor activities remain. The aim of the work is to show neurological and ophthalmological complications at the child after the fali down from the fifth storey.


METHODS
A four-year-old girl with severe injuries of the body as result of the fall down from the fifth storey has been described. She had serious changes within head--the bruise of the brain with typical symptoms after brain trauma. The period spent in coma lasted for quite long time, therefore the return of the base life activities also stretched over months. Control computer tomography scan of the head showed multiple fractures of the skull bones and of brain tissue injury. The organ of sight complications concerned visual acuities, the large angle squint, the entire lack of the convergence reflex and post-traumatic symptoms on the fundus of eyeballs.


RESULTS
The long-term suitable medical care let the child to survive and then slowly recover.


CONCLUSIONS
The intensive treatment and the rehabilitation of the child after the heavy head trauma allowed to obtain the astounding improvement of the psychomotor activities. It is very important for the children after the head trauma to conduct for the multispecialist treatment and proper long-term rehabilitation of children.
Puchalska-Niedbał
Lidia
L
Katedra i Klinika Okulistyki Pomorskiej Akademii Medycznej al. Powstańców Wlkp. 72, 70-111 Szczecin.
D000058:Accidental Falls; D001763:Blepharoptosis / Q000209:etiology* / Q000534:rehabilitation; D001930:Brain Injuries / Q000150:complications* / Q000175:diagnosis; D002675:Child, Preschool; D005260:Female; D006801:Humans; D009104:Multiple Trauma / Q000175:diagnosis*; D012887:Skull Fractures / Q000175:diagnosis; D013285:Strabismus / Q000209:etiology* / Q000534:rehabilitation; D014786:Vision Disorders / Q000209:etiology* / Q000534:rehabilitation