International Medical Journal, Vol. 25., Iss. 2, 2019, P. 57−61.
CHARACTERISTICS OF DISORDERS OF VEGETATIVE NERVOUS SYSTEM IN CHILDREN AFTER CLOSED CRANIOCEREBRAL INJURY OF VARYING SEVERITIES
Municipal Non−Profit Orgnization Kharkiv City Children's Hospital N 5, Ukraine
Vegetative dysfunction that occurred in childhood is an unfavorable background if the child has a concomitant pathology. As a rule, autonomic disorders are secondary, against the background of many mental, neurological and somatic diseases. In order to study the features of the clinical manifestations of autonomic disorders in children who suffered a closed head injury of varying severities, 80 patients aged from 3 to 17 years were examined. The study used the following methods: clinical and anamnestic using the inpatient card; clinical and neurological examination with the application of the Vein questionnaire; vegetative indices were evaluated by calculating the Kerdo index. The results of the study showed that in children who suffered a traumatic brain injury, autonomic disorders most often manifested themselves as headaches, less often as a fatigue, more rarely as dizziness, memory and sleep disorders. Loss of consciousness is more often observed in severe forms of closed head injuries, and subfebrile condition, as well as disorder of the gastrointestinal tract are single observations. Autonomic dysfunction syndrome is one of the frequent manifestations of the effects of traumatic brain injury, is characterized by polymorphism of clinical manifestations, may be relatively permanent or permanent with recurring paroxysms. Vegetative tone in children with trauma was more often characterized with parasympathicotonia. Vegetative dysfunction increased under the influence of meteorological factors, physical and emotional stress.
Key words: closed craniocerebral injury, vegetative nervous system, vegetative dysfunction.