Phabian J., 6

Phabian is a 6-year-old boy and the youngest of four siblings. He lives with his parents and siblings in a modest two-roomed semi-permanent house. His mother is unemployed, leaving the family dependent on his father, who relies on irregular menial jobs to provide food and meet other basic household needs. Due to the family’s financial difficulties, Phabian’s kindergarten education largely depends on support from well-wishers and the goodwill of his school. When well, he is a cheerful and active child who enjoys playing with his friends. Phabian was returning home after playing with other children when he was involved in a road traffic accident. While crossing a road near his home, he was struck by a motorbike and sustained injuries. He was taken to a health facility for medical assessment and treatment. His injuries required appropriate management, observation and follow-up to monitor his recovery and identify or prevent possible complications.

Phabian sustained a significant traumatic brain injury involving a skull fracture, acute subdural haematoma and brain contusion. His semi-conscious state and ear bleeding were concerning and warranted urgent admission, close neurological monitoring and specialist review. The haematoma may enlarge and increase pressure on the brain, potentially causing seizures, loss of consciousness or neurological disability. His prognosis is guarded initially, but can become favourable with timely management and clinical improvement. Follow-up is essential to assess neurological recovery and late complications.