Open AccessSevere combined injury in a child
Author(s) -
G. I. Gusakov
Publication year - 1969
Publication title -
kazanskij medicinskij žurnal
Language(s) - English
Resource type - Journals
eISSN - 2587-9359
pISSN - 0368-4814
DOI - 10.17816/kazmj105297
Subject(s) - reflex , medicine , anisocoria , anesthesia , swallowing , surgery , psychology , pupil , neuroscience
G., 7 years old, was admitted on 15/IV 1968 40 minutes after a transport injury in an extremely serious condition, unconscious, with motor anxiety. Pulse 130, low filling and tension, blood pressure 70/0, shallow breathing, 14 v min. Blood with an admixture of cerebrospinal fluid is released from the right and left external auditory passages and the right nasal passage. Anisocoria. The pupils' reaction to light is sluggish. Floating gaze. Corneal and swallowing reflexes are absent. The child does not react to the painful stimulus. Left-sided hemiparesis. Periodically, hypertonicity in the right extremities, left tendon and periosteal reflexes are greater than the right ones. Abdominal reflexes are absent. Babinsky's bilateral symptom and Oppenheim's symptom on the right. There are no meningeal signs.