NEUROBEHAVIORAL CONSEQUENCES OF CLOSED-HEAD INJURY IN OLDER ADULTS

被引:50
作者
GOLDSTEIN, FC
LEVIN, HS
PRESLEY, RM
SEARCY, J
COLOHAN, ART
EISENBERG, HM
JANN, B
BERTOLINOKUSNERIK, L
机构
[1] EMORY UNIV,SCH MED,DEPT NEUROL,NEUROBEHAV PROGRAM,ATLANTA,GA 30322
[2] EMORY UNIV,SCH MED,DEPT NEUROSURG,ATLANTA,GA
[3] EMORY UNIV,SCH MED,DEPT REHABIL MED,ATLANTA,GA
[4] UNIV TEXAS,MED BRANCH,DIV NEUROSURG,GALVESTON,TX 77550
[5] UNIV MARYLAND,SCH MED,DEPT NEUROL SURG,BALTIMORE,MD 21201
关键词
D O I
10.1136/jnnp.57.8.961
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
This study examined the neurobehavioural effects of closed head injury (CHI) in adults aged 50 years and older. Twenty two mild to moderate CHI patients who were within seven months of the injury were administered measures of language, memory, attention, and executive functioning, Compared with demographically similar normal controls, the patients exhibited significantly poorer functioning on the cognitive domains. Naming and word fluency under timed conditions, verbal and visual memory, and the ability to infer similarities were especially vulnerable. These initial findings indicate that CHI in older adults produces considerable cognitive deficits in the early stages of recovery. Future research should characterise long term outcome and the potential links between head injury and the development of progressive dementia.
引用
收藏
页码:961 / 966
页数:6
相关论文
共 44 条
[1]   BRAIN-DAMAGE IN FATAL NON-MISSILE HEAD-INJURY [J].
ADAMS, JH ;
GRAHAM, D ;
SCOTT, G ;
PARKER, LS ;
DOYLE, D .
JOURNAL OF CLINICAL PATHOLOGY, 1980, 33 (12) :1132-1145
[2]   OUTCOME AFTER SEVERE HEAD-INJURY - RELATIONSHIP TO MASS LESIONS, DIFFUSE INJURY, AND ICP COURSE IN PEDIATRIC AND ADULT PATIENTS [J].
ALBERICO, AM ;
WARD, JD ;
CHOI, SC ;
MARMAROU, A ;
YOUNG, HF .
JOURNAL OF NEUROSURGERY, 1987, 67 (05) :648-656
[3]  
Benton A, 1978, MULTILINGUAL APHASIA
[4]   ASSOCIATION BETWEEN QUANTITATIVE MEASURES OF DEMENTIA AND OF SENILE CHANGE IN CEREBRAL GREY MATTER OF ELDERLY SUBJECTS [J].
BLESSED, G ;
TOMLINSON, BE ;
ROTH, M .
BRITISH JOURNAL OF PSYCHIATRY, 1968, 114 (512) :797-+
[5]  
Copper PR, 1987, HEAD INJURY, P1
[6]   TREATMENT OF THE ELDERLY BRAIN-INJURED PATIENT - EXPERIENCE IN A TRAUMATIC BRAIN INJURY UNIT [J].
DAVIS, CS ;
ACTON, P .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1988, 36 (03) :225-229
[7]  
DELIS DC, 1988, CALIFORNIA VERBAL LE
[8]  
DELIS DC, 1986, CALIFORNIA VERBAL LE
[9]   SURVIVAL AFTER TRAUMA IN GERIATRIC-PATIENTS [J].
DEMARIA, EJ ;
KENNEY, PR ;
MERRIAM, MA ;
CASANOVA, LA ;
GANN, DS .
ANNALS OF SURGERY, 1987, 206 (06) :738-743
[10]   MINI-MENTAL STATE - PRACTICAL METHOD FOR GRADING COGNITIVE STATE OF PATIENTS FOR CLINICIAN [J].
FOLSTEIN, MF ;
FOLSTEIN, SE ;
MCHUGH, PR .
JOURNAL OF PSYCHIATRIC RESEARCH, 1975, 12 (03) :189-198