Comprehensive Clinical Picture of Patients with Complicated vs Uncomplicated Mild Traumatic Brain Injury |
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| Authors: | Dr. Elaine de Guise Ph.D. Jean-François Lepage Simon Tinawi Joanne LeBlanc Jehane Dagher Julie Lamoureux |
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| Affiliation: | 1. Traumatic Brain Injury Program, McGill University Health Centre – Montreal General Hospital;2. Neurology and Neurosurgery Department , McGill University elaine.deguise@muhc.mcgill.ca;4. University of Montreal;5. Rehabilitation Medicine Department , McGill University Health Centre – Montreal General Hospital;6. Traumatic Brain Injury Program, McGill University Health Centre – Montreal General Hospital;7. Social and Preventive Medicine Department , University of Montreal , Montreal, Canada |
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| Abstract: | To compare the acute clinical profile of patients with uncomplicated vs complicated mild TBI (MTBI), socio-demographic and medical history variables were gathered for 176 patients diagnosed with MTBI and with (complicated, N = 45) or without (uncomplicated, N = 131) positive findings on cerebral imaging. Neurological examination, neuropsychological assessment and self-evaluation of post-concussive symptoms were done at 2 weeks post trauma. Patients with complicated MTBI were more likely to show auditory and vestibular system dysfunction. Surprisingly, the uncomplicated group reported more severe post-concussive symptoms than patients with positive CT scans. The groups showed no other difference in neurological, psychological, or cognitive outcome. A complete neurological examination should be done acutely in patients with MTBI to determine more specific follow-up required. |
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| Keywords: | Mild traumatic brain injury Neuropsychology Neurology Rivermead Post-Concussive Questionnaire Early rehabilitation setting Imaging |
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