TRAUMATIC BRAIN INJURY DURING DELIVERY,A REALITY NOT TO FORGET - CLINICAL CASE

Introduction: Besides the knowledge we get from the books , it is often with real clinical cases we observe that we learn new medical knowledge to import for our clinical practice. Clinical Case: Woman, 34 years old, with no past personal relevant medical history, refers to the family doctor in the third month postpartum with clinical daily headache, disturbed sleep patterns, tiredness, memory loss and emotional labiality that make it impossible to take care of her child's autonomously. The symptoms add an inaccurate installation but apparently initiated from discharged from hospital. This case was initially admitted as postpartum depression, with the patient being oriented in accordance with that diagnosis. She returned after 1 month, maintaining the clinical picture. The doctor then contact the obstetrician present during childbirth which, by consulting the clinical registration refers to have been described a traumatic brain injury during birth episode, with loss of consciousness for a few seconds, but no other symptoms, so at the time was devalued. Thus, it was concluded that the clinical could be related to the occurrence of a brain concussion, whereby the patient was referred to an specialist in rehabilitation. She was properly medicated and oriented, she began occupational therapy and one month after found herself perfectly autonomous in child care, no other symptoms besides decreasingly sporadic headaches. Conclusion: This clinical case demonstrates how being alert to different pathologies and their clinical presentations can lead to the correct diagnosis and thus the proper guidance of our patients.