Mild Neurocognitive Disorder and Post-traumatic Epilepsy consequence of a job injury, its legal assessment. A case report / Trastorno neurocognitivo leve y epilepsia postraumática consecuencia de un accidente de trabajo, valoración médico legal.
Consequence of a Work Accident: Your Medical Legal Assessment in Mexico. Report of a case.
Abstract
Abstract: A case of a mixer operator who suffered severe head trauma (TBI) with data of left temporo-parietal intracerebral hemorrhage is presented.When regaining consciousness, she presented data of retrograde and antegrade amnesia, aphasia, left hemiplegia, anosognosia, associative visual agnosia and hearing loss, currently with short-term memory problems; Associative visual agnosia, sleep disturbances and starts with seizures. Introduction: TBI represents one of the most common causes of death and sequelae such as mild neurocognitive disorder (CLND) that is diagnosed with: clinical, Computerized Axial Tomography (CT) and cognitive evaluations: WAIS-IV, minimental, MoCA, Go test - no- Go; or Post-traumatic epilepsy (PTSD) characterized by late recurrent seizures not attributable to another cause with paroxysmal activity in the brain. Discussion: In the assessment of bodily harm in workers, the diagnosis of certainty must be established, collecting the mechanism of trauma and antecedents. In this case, the worker presented electoral crises two years 1 month after the TCE; Due to the time of appearance, it does not coincide with the clinical symptoms of CLNT in which they appear from the beginning and up to 6 months later, with the findings in the electroencephalogram and the adequate response to anticonvulsant, the existence of PTE was determined. Conclusions: It was possible to conclude the coexistence of EPT and TNCL, which in this case aggravated the expected cognitive deterioration of the TNCL, granting the fractions established in the Federal Labor Law (LFT) to which the worker is entitled.
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References
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