Politraumatismo em cão filhote: relato de caso

Abstract

Traumatic Brain Injury (TBI) is a common cerebral lesion in pediatric patients, frequently associated with polytrauma, requiring an emergency approach and specialized imaging diagnostics, such as computed tomography (CT). This study aims to report the clinical-intensive management of a 3-month-old female Yorkshire Terrier puppy that developed severe polytrauma after a fall. The patient was admitted with moderate TBI (Modified Glasgow Coma Scale: 11 points), and imaging diagnostics (radiographs, ultrasound, and CT of the skull and thorax) revealed multiple skull fractures, pulmonary contusion (PC), and rib fractures. The initial therapeutic management, which included a neurointensive protocol for intracranial pressure (ICP) control, was complicated by the progression to severe secondary complications, such as diffuse bronchopneumonia and colitis, demanding an adaptive and aggressive approach to the pulmonary and gastrointestinal injuries. The case demonstrated the importance of intensive monitoring and the adaptive multidisciplinary approach in treating pediatric polytrauma patients, resulting in a favorable outcome with the complete regression of neurological signs and improvement of secondary complications.