Neuropsychological Outcomes in Patients with Complicated Versus Uncomplicated Mild Traumatic Brain Injury: 6-Month Follow-Up.

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ID: 93885
2017
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Abstract
To compare the extent of persistent neuropsychological impairment in patients with complicated mild traumatic brain injury (mTBI) and those with uncomplicated mTBI.Sixty-one patients with mTBI (Glasgow Coma Scale score 13-15) were recruited prospectively, categorized according to baseline computed tomography findings, and subjected to neuropsychological assessment at initial admission (n = 61) as well as at a 6-month follow-up (n = 30). The paired t test, Cohen's d effect size calculation, and repeated-measures analysis of variance were used to establish the differences between the 2 groups in terms of neuropsychological performance.A trend toward poorer neuropsychological performance among the patients with complicated mTBI was observed during admission; however, performance in this group improved over time. In contrast, the uncomplicated mTBI group showed slower recovery, especially in tasks of memory, visuospatial processing, and executive functions, at follow-up.Our findings suggest that despite the broad umbrella designation of mTBI, the current classification schemes of injury severity for mild neurotrauma should be revisited. They also raise questions about the clinical relevance of both traumatic focal lesions and the absence of visible traumatic lesions on brain imaging studies in patients with milder forms of head trauma.
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veeramuthu2017neuropsychologicalworld Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Veeramuthu, Vigneswaran;Narayanan, Vairavan;Ramli, Norlisah;Hernowo, Aditya;Waran, Vicknes;Bondi, Mark W;Delano-Wood, Lisa;Ganesan, Dharmendra;
Journal world neurosurgery
Year 2017
DOI
S1878-8750(16)31029-4
URL
Keywords
mild traumatic brain injury complicated versus uncomplicated early neuropsychological impairment

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