Cognitive Impairment after Severe Head Injury
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1
Department of Neurosurgery, University of Pecs, Hungary
OBJECTIVE: The main goal of this investigation was to explore the proportion and the severity of post-traumatic cognitive alterations among our severely head injured patients. We applied tests to clarify the influence of the presenting cognitive deficits to the patients everyday practice; social and family life. We also tried to identify the timely procession of cognitive deficits.
METHOD: We designated our investigations on the basis of “Pecs severe traumatic brain injury databank” in which the main inclusion criteria was GCS≤8. Between January 2003 and December 2007 we have examined 59 patients who had suffered severe traumatic brain injury. In 31 cases later we could carry out a second test. For the mapping of cognitive impairments we have utilized three well documented tests: The Test of Nonverbal Inteligence Third Edition (TONI-3); The Wisconsin Card Sorting Test (WCST) and The Portland Adaptability Inventory (PAI).
RESULT: The average IQ of the patients was 85,00±13,92 (TONI-3). In the WCST the patients made 20,48% perseverative errors, 20,94% non-perseverative errors 43,38% conceptual level responses and they completed 3,16±2,29 categories. In case of PAI the patients scored 11,52 points on the average.
CONCLUSION: These results are all significantly much lower from the expected of a healthy population. The patients are especially perform poorly in tests relevant to the function of the frontal lobe. This means that the majority of these patients suffer from severe cognitive and social difficulties in his/her everyday life and underlines the necessity of a complex long term psychosocial rehabilitation in these cases.
Conference:
12th Meeting of the Hungarian Neuroscience Society, Budapest, Hungary, 22 Jan - 24 Jan, 2009.
Presentation Type:
Poster Presentation
Topic:
Pathophysiology and neurology - degenerative disorders
Citation:
Czeiter
E,
Szellar
D,
Szabó
É,
Kovacs
N,
Kosztolanyi
P,
Doczi
T and
Buki
A
(2009). Cognitive Impairment after Severe Head Injury.
Front. Syst. Neurosci.
Conference Abstract:
12th Meeting of the Hungarian Neuroscience Society.
doi: 10.3389/conf.neuro.01.2009.04.144
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Received:
05 Mar 2009;
Published Online:
05 Mar 2009.
*
Correspondence:
Endre Czeiter, Department of Neurosurgery, University of Pecs, Pecs, Hungary, endre.czeiter@gmail.com