A prospective study of the recovery of attention from acute to 2 years following pediatric traumatic brain injury

2005 ◽  
Vol 11 (1) ◽  
pp. 84-98 ◽  
Author(s):  
CATHY CATROPPA ◽  
VICKI ANDERSON

Limited research has investigated specific attentional sequelae following pediatric traumatic brain injury (TBI), such as sustained, selective, and shifting attention, as well as speed of processing. Little is known about the pattern of recovery of these skills or their interaction with ongoing development. The present study examined attentional abilities at acute, 6-, 12-, and 24-month time points postinjury in a group of 71 children who had sustained a mild, moderate, or severe TBI. Results indicated that children who sustained a severe TBI generally performed poorest, but showed most recovery over time. The pattern of recovery was dependent on the attentional component being measured. Specifically, deficits were most evident on more complex and timed tasks. While a number of areas showed recovery over time, for some attentional components, difficulties persisted to 24 months postinjury. (JINS, 2005,11, 84–98.)

2021 ◽  
Author(s):  
Anke W. van der Eerden ◽  
Thomas L. A. van den Heuvel ◽  
Marnix C. Maas ◽  
Priya Vart ◽  
Pieter E. Vos ◽  
...  

Abstract Introduction In order to augment the certainty of the radiological interpretation of “possible microbleeds” after traumatic brain injury (TBI), we assessed their longitudinal evolution on 3-T SWI in patients with moderate/severe TBI. Methods Standardized 3-T SWI and T1-weighted imaging were obtained 3 and 26 weeks after TBI in 31 patients. Their microbleeds were computer-aided detected and classified by a neuroradiologist as no, possible, or definite at baseline and follow-up, separately (single-scan evaluation). Thereafter, the classifications were re-evaluated after comparison between the time-points (post-comparison evaluation). We selected the possible microbleeds at baseline at single-scan evaluation and recorded their post-comparison classification at follow-up. Results Of the 1038 microbleeds at baseline, 173 were possible microbleeds. Of these, 53.8% corresponded to no microbleed at follow-up. At follow-up, 30.6% were possible and 15.6% were definite. Of the 120 differences between baseline and follow-up, 10% showed evidence of a pathophysiological change over time. Proximity to extra-axial injury and proximity to definite microbleeds were independently predictive of becoming a definite microbleed at follow-up. The reclassification level differed between anatomical locations. Conclusions Our findings support disregarding possible microbleeds in the absence of clinical consequences. In selected cases, however, a follow-up SWI-scan could be considered to exclude evolution into a definite microbleed.


2018 ◽  
Vol 2 (2) ◽  
pp. 01-01
Author(s):  
Raghunath Avanali

Traumatic brain injury (TBI) is an escalating problem with an almost geometric progression. The problem escalated with increasing population and traffic, but with limited resources to handle the issue.1,2 The present study has its objective focused on making a prognosis of the TBI patient.3 The outcome prediction helps in conveying the prognosis to the patient’s family. Needless to say, a prognostic prediction is also helpful in the optimal and timely utilization of available resources.


Author(s):  
JEFFREY E. MAX ◽  
STEPHAN ARNDT ◽  
CARLOS S. CASTILLO ◽  
HIROKAZU BOKURA ◽  
DONALD A. ROBIN ◽  
...  

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