Effects of subdural hematomas on physical, developmental and cognitive functions

Effects of subdural hematomas on physical, developmental and cognitive functions

Effects on physical state

Traumatic brain damage has adverse effect on the physical state of a 16 year old individual since it affects the motor activity such as slow gross motor skills, problems with fine motor dexterity, and difficulties with coordination of complex motor tasks. Seizures also manifests, but can be managed by administration of drugs (Hockenberry 873).

Effects on cognitive functions

Cognitive difficulties are often experienced with symptoms including: memory loss where learning, encoding, recalling and retaining information becomes a problem. It also affects language where communication through speaking is impaired and there is also writing difficulties. Thinking speed too is slowed and also there is poor planning of items and time (FarhatNeto et al. 284).

Developmental effects

The development of the 16 year old child will be affected, but to a lesser extent since by the age of 16, most tissues and organs have already developed.

Comparison between the 16 year old child with subdural hematomas and normal children showed that: intelligence of the affected child was slightly low than the rest because the injury to the brain could have affected the cerebrum, it was assessed by the Differential Ability Scales. Tests of language skills included Pragmatic Judgmental subtest of the Comprehensive Assessment of Spoken Language to assess the fluency of both the child who had subdural hematoma and the normal children and it was found out that the normal children were more fluent. A memory test was also done and it was found out that the 16 year old child with subdural hematoma sometimes suffered from slight memory loss and problems retrieving information and learning while the rest were normal (Hockenberry 253).

Motor vehicle accidents have been a prominent cause of brain damage which later leads to subdural hematomas, acute hematomas always arise immediately after the brain injury and is always life threatening if not addressed appropriately. Symptoms of subacute and chronic subdural hematomas manifests for days to even weeks. The surgical procedure is always done to remove large clots in the brain and also drain away blood to release intracranial pressure inside the brain. Small subdural hematomas which cannot cause symptoms will however not be treated since it is not significant (FarhatNeto et al. 287).

Age is a risk factor for subdural hematomas where very young and very old individuals are susceptible because of thinner bones and stretching of veins due to brain atrophy respectively. Medications can also be administered such as corticosteroids, which help in preventing swelling and inflammation. Treatment through surgery and medications depend on the point of injury and the extent of the brain damage. Anticonvulsants are also administered to relieve and treat seizures (Kolias et al 571). Children always recover quickly and more completely than the adults who recover in a period within six months. The effects of subdural are significant in a way that it affects language,  impairs communication, leads to memory loss, lowers intelligence, affects the cognitive function and also affects motor activity such as writing, and other fine movements which require coordination (Weigel et al 939).

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