AFTER A MILD TRAUMATIC BRAIN INJURY, CAN A PERSISTENT POST-CONCUSSION SYNDROME BE PREDICTED? A PROSPECTIVE CLINICAL STUDY ON 55 CASES
Journal Title: Acta Neuropsychologica - Year 2010, Vol 8, Issue 2
Abstract
Every year, in Europe, 1 million people suffer a traumatic brain injury (TBI). 80% of these are mild, but 10 to 15% are left, 3 months after the accident, with somatic, cognitive and behavioral disorders, often thought of as psychogenic, and therefore disregarded. Our study was aimed at early prediction of a negative course after MTBI. 55 MTBI patients were recruited in the emergency units of 4 French university hospitals. The patients were evaluated be tween 8 and 21 days (T1), then between 3 and 4 months (T2) after the accident. The evaluations comprised a complaints questionnaire, simple neuropsy - cho logical tests, the Hospital Anxiety and Depression scale, and visual analogue scales of pain and quality of life. At T2, 29 MTBI did not report, but 26 MTBI were reevaluated: 15 had a persistent post-concussional syndrome (PPCS) and 11 had a positive course (non-PPCS). Neu ropsychological scores and general complaints – especially pain – as well as quality of life were significantly lower, with a higher anxiety score, in the PPCS group as compared to non-PPCS, not only at T2, but also at T1. We tried to predict – and proposed to prevent – the ne gative course of MTBI, thanks to a complaints questionnaire and a few quick neuropsy - chological tests. This preliminary study comes prior to a current study of an MTBI population of 200, in neuropsychology and diffusion tensor imaging.
Authors and Affiliations
Sophie Caplain, Jean-Luc Truelle, Etienne Hinglais, Nacera Baarir, Frédéric Vignaud, Gaële Rozec, Enrique Casalino, Michèle Montreuil
Keywords
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