Comprehensive clinical picture of patients with complicated vs uncomplicated mild traumatic brain injury.
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.
de Guise
Elaine
E
Traumatic Brain Injury Program, McGill University Health Centre, Montreal General Hospital, 1650 Cedar Avenue, Montreal, Quebec, Canada. elaine.deguise@muhc.mcgill.ca
Lepage
Jean-François
JF
Tinawi
Simon
S
LeBlanc
Joanne
J
Dagher
Jehane
J
Lamoureux
Julie
J
Feyz
Mitra
M
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001930:Brain Injuries / Q000150:complications*; D003072:Cognition Disorders / Q000209:etiology*; D005260:Female; D015600:Glasgow Coma Scale; D006801:Humans; D008297:Male; D008875:Middle Aged; D009460:Neurologic Examination / Q000379:methods; D009483:Neuropsychological Tests; D038223:Post-Concussion Syndrome / Q000209:etiology*; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires; D015837:Vestibular Diseases / Q000209:etiology*; D055815:Young Adult