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Day of injury CT and late MRI findings: Cognitive outcome in a paediatric sample with complicated mild traumatic brain injury
| Content Provider | Scilit |
|---|---|
| Author | Bigler, Erin D. Jantz, Paul B. Farrer, Thomas J. Abildskov, Tracy J. Dennis, Maureen Gerhardt, Cynthia A. Rubin, Kenneth H. Stancin, Terry Taylor, H. Gerry Vannatta, Kathryn Yeates, Keith Owen |
| Copyright Year | 2015 |
| Description | Journal: Brain Injury Objectives: Complicated mild traumatic brain injury (mTBI) or cmTBI is based on the presence of visibly identifiable brain pathology on the day-of-injury computed tomography (CT) scan. In a paediatric sample the relation of DOI CT to late MRI findings and neuropsychological outcome was examined. Methods: MRI (>12 months) was obtained in paediatric cmTBI patients and a sample of orthopaedically injured (OI) children. Those children with positive imaging findings (MRI+) were quantitatively compared to those without (MRI−) or with the OI sample. Groups were also compared in neurocognitive outcome from WASI sub-tests and the WISC-IV Processing Speed Index (PSI), along with the Test of Everyday Attention for Children (TEA-Ch) and a parent-rated behavioural functioning measure (ABAS-II). Results: Despite the MRI+ group having significantly more DOI CT findings than the MRI− group, no quantitative differences were found. WASI Vocabulary and Matrix Reasoning scores were significantly lower, but not PSI, TEA-Ch or ABAS-II scores. MRI+ and MRI− groups did not differ on these measures. Conclusions: Heterogeneity in the occurrence of MRI-identified focal pathology was not associated with uniform changes in quantitative analyses of brain structure in cmTBI. Increased number of DOI CT abnormalities was associated with lowered neuropsychological performance. |
| Related Links | http://europepmc.org/articles/pmc4761428?pdf=render https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4761428/pdf https://www.tandfonline.com/doi/pdf/10.3109/02699052.2015.1011234 |
| Ending Page | 1070 |
| Page Count | 9 |
| Starting Page | 1062 |
| ISSN | 02699052 |
| e-ISSN | 1362301X |
| DOI | 10.3109/02699052.2015.1011234 |
| Journal | Brain Injury |
| Issue Number | 9 |
| Volume Number | 29 |
| Language | English |
| Publisher | Informa UK Limited |
| Publisher Date | 2015-07-16 |
| Access Restriction | Open |
| Subject Keyword | Journal: Brain Injury Rehabilitation Complicated Mild Traumatic Brain Injury Magnetic Resonance Imaging Neuropsychological Outcome |
| Content Type | Text |
| Subject | Neuroscience Developmental and Educational Psychology Neurology (clinical) |
