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[Neuropsychological evaluation of children in low conciseness state after a severe traumatic brain injury]

E V Fufaeva1, Yu V Mikadze2, V I Lukyanov1

  • 1Clinical and Research Institute of Urgent Pediatric Surgery and Traumatology, Moscow, Russia.

Zhurnal Nevrologii I Psikhiatrii Imeni S.S. Korsakova
|January 24, 2018
PubMed

Insights

Cognitive deficits in children with severe traumatic brain injury (TBI) primarily impact processing speed, executive functions, and memory in the early recovery phase. Anterior cortex damage is linked to slower recovery dynamics.

Area of Science:

  • Pediatric neurology
  • Neuropsychology
  • Rehabilitation medicine

Background:

  • Severe traumatic brain injury (TBI) in children can lead to long-term cognitive impairments.
  • Understanding the trajectory of cognitive recovery is crucial for effective intervention.

Purpose of the Study:

  • To track cognitive recovery patterns in children aged 6-17 within the first four months post-severe TBI.
  • To identify factors influencing the rate and nature of cognitive recovery.

Main Methods:

  • Seventeen children with severe TBI (Glasgow Coma Scale ≤8) were assessed.
  • Utilized the Coma Recovery Scale-R (CRS) and Luria Neuropsychological Battery.
  • Children were grouped based on consciousness recovery: complete, minimally conscious state (MCS), and low level of consciousness.

Main Results:

  • Processing speed, executive functions, and memory were most affected early after TBI.
  • Children with anterior cortex damage exhibited slower recovery.
  • Slower consciousness recovery correlated with deficits in visual gnosis, speech, and executive functions.

Conclusions:

  • Early cognitive deficits significantly impact recovery dynamics after pediatric TBI.
  • The extent and location of brain damage influence the speed and pattern of recovery.
  • Positive recovery trends are associated with early and rapid behavioral changes.
Abstract

Keywords:
TBIchildrencognitive outcomelow consciousness stateneuropsychological approach

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