Neurobehavioural consequences of closed head injury in older adults

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 demo...

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Veröffentlicht in:Journal of neurology, neurosurgery and psychiatry neurosurgery and psychiatry, 1994-08, Vol.57 (8), p.961-966
Hauptverfasser: Goldstein, F C, Levin, H S, Presley, R M, Searcy, J, Colohan, A R, Eisenberg, H M, Jann, B, Bertolino-Kusnerik, L
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container_end_page 966
container_issue 8
container_start_page 961
container_title Journal of neurology, neurosurgery and psychiatry
container_volume 57
creator Goldstein, F C
Levin, H S
Presley, R M
Searcy, J
Colohan, A R
Eisenberg, H M
Jann, B
Bertolino-Kusnerik, L
description 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.
doi_str_mv 10.1136/jnnp.57.8.961
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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.</description><identifier>ISSN: 0022-3050</identifier><identifier>EISSN: 1468-330X</identifier><identifier>DOI: 10.1136/jnnp.57.8.961</identifier><identifier>PMID: 8057121</identifier><identifier>CODEN: JNNPAU</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd</publisher><subject>Age Factors ; Aged ; Aged, 80 and over ; Attention ; Biological and medical sciences ; Case-Control Studies ; Cognition Disorders - diagnosis ; Cognition Disorders - epidemiology ; Cognition Disorders - etiology ; Cognition Disorders - physiopathology ; Craniocerebral Trauma - classification ; Craniocerebral Trauma - complications ; Female ; Humans ; Injuries of the nervous system and the skull. Diseases due to physical agents ; Injury Severity Score ; Language ; Male ; Medical sciences ; Memory ; Mental Processes ; Middle Aged ; Multivariate Analysis ; Neuropsychological Tests ; Prospective Studies ; Traumas. 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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.</description><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Attention</subject><subject>Biological and medical sciences</subject><subject>Case-Control Studies</subject><subject>Cognition Disorders - diagnosis</subject><subject>Cognition Disorders - epidemiology</subject><subject>Cognition Disorders - etiology</subject><subject>Cognition Disorders - physiopathology</subject><subject>Craniocerebral Trauma - classification</subject><subject>Craniocerebral Trauma - complications</subject><subject>Female</subject><subject>Humans</subject><subject>Injuries of the nervous system and the skull. Diseases due to physical agents</subject><subject>Injury Severity Score</subject><subject>Language</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Memory</subject><subject>Mental Processes</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>Neuropsychological Tests</subject><subject>Prospective Studies</subject><subject>Traumas. 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Diseases due to physical agents</topic><topic>Injury Severity Score</topic><topic>Language</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Memory</topic><topic>Mental Processes</topic><topic>Middle Aged</topic><topic>Multivariate Analysis</topic><topic>Neuropsychological Tests</topic><topic>Prospective Studies</topic><topic>Traumas. 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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.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd</pub><pmid>8057121</pmid><doi>10.1136/jnnp.57.8.961</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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subjects Age Factors
Aged
Aged, 80 and over
Attention
Biological and medical sciences
Case-Control Studies
Cognition Disorders - diagnosis
Cognition Disorders - epidemiology
Cognition Disorders - etiology
Cognition Disorders - physiopathology
Craniocerebral Trauma - classification
Craniocerebral Trauma - complications
Female
Humans
Injuries of the nervous system and the skull. Diseases due to physical agents
Injury Severity Score
Language
Male
Medical sciences
Memory
Mental Processes
Middle Aged
Multivariate Analysis
Neuropsychological Tests
Prospective Studies
Traumas. Diseases due to physical agents
Wounds, Nonpenetrating - classification
Wounds, Nonpenetrating - complications
title Neurobehavioural consequences of closed head injury in older adults
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