Traumatic brain injury in the elderly: diagnostic and treatment challenges.
The purpose of this review is to introduce geriatric practitioners to issues and challenges presented in the elderly after onset of traumatic brain injury (TBI). Issues discussed include the magnitude of TBI in the elderly, mechanisms of onset, issues specific to both acute and rehabilitation care for the elderly with TBI, and specific physical and behavioral manifestations of TBI that may need to be addressed on an inpatient or outpatient basis. General guidelines are provided for the diagnosis and treatment of older individuals who have TBI, with specific clinical scenarios illustrating key points.
Flanagan
Steven R
SR
Rehabilitation Medicine, Mount Sinai School of Medicine, 1 Gustave L. Levy Place, Box 1240, New York, NY 10029, USA. steve.flanagan@mssm.edu
Hibbard
Mary R
MR
Riordan
Brian
B
Gordon
Wayne A
WA
D000208:Acute Disease; D000368:Aged; D000369:Aged, 80 and over; D001930:Brain Injuries / Q000175:diagnosis* / Q000534:rehabilitation*; D003422:Critical Care; D005260:Female; D005500:Follow-Up Studies; D015577:Geriatric Assessment; D015600:Glasgow Coma Scale; D006801:Humans; D015601:Injury Severity Score; D008134:Long-Term Care; D008297:Male; D026741:Physical Therapy Modalities; D011613:Psychotherapy / Q000379:methods; D011788:Quality of Life; D020127:Recovery of Function; D012047:Rehabilitation Centers; D018570:Risk Assessment