Phineas of Punjab: A Young Contused Brain

Abstract

Traumatic brain injury (TBI) can be defined as the disruption in brain function, or other evidence of brain pathology, caused by an external physical force. Its neuropsychiatric manifestations include a myriad of cognitive deficits, affective changes, apathy, psychosis and behavioral dyscontrol disorders. The case study aimed to discuss an interesting case of a young male had a deviation from his normalcy following head injury during an road traffic accident, under influence of alcohol. He was referred by his treating surgeon for evaluation of alcohol use, however, he had subtle behavioural changes in form of impulsivity, anger outbursts, perseverance and crying spells, a stark deviation from his pre-morbid self. Evaluation and identification of neuro-psychiatric consequences of traumatic brain injury requires a high suspicion, close monitoring, longitudinal follow ups along with pharmacotherapy, socio-occupational supportive measures and an empathetic-holistic approach.