Journal article
Neurobehavioural dysfunction following mild traumatic brain injury in childhood: A case report with positive findings on positron emission tomography (PET)
Brain injury, Vol.9(5), pp.427-436
1995
DOI: 10.3109/02699059509008202
PMID: 7550214
Abstract
The present case study describes the neurobehavioural, neurodiagnostic, and positron emission tomography (PET) scan findings in a child who sustained a whiplash-type injury in a motor vehicle accident. Although neck and back pain were reported immediately, neurobehavioural symptoms, such as staring spells, gradually increased in frequency over a 2-year period following the accident. At 4 years after the accident the patient's symptoms persisted, as reported by teachers and parents, and more extensive diagnostic work-up was initiated. Standard EEG was normal while two ambulatory EEGs were abnormal and interpreted as epileptiform. A PET scan showed evidence of marked hypometabolism in both temporal lobes. Neuropsychological findings were consistent with PET findings and reflected verbal and visual memory deficits in the context of high average intelligence. Treatment with carbamazepine, verapamil, and fluoxetine gready improved the patient's symptoms. The present case illustrates an example of a poor outcome in a paediatric case of mild traumatic brain injury, the importance of PET in demonstrating definitive evidence of brain dysfunction, and the child's positive response to anticonvulsant medication.
Details
- Title: Subtitle
- Neurobehavioural dysfunction following mild traumatic brain injury in childhood: A case report with positive findings on positron emission tomography (PET)
- Creators
- M. A. Roberts - University of IowaF. F. Manshadi - Psychiatric Medicine AssociatesD. L. Bushnell - University of IowaM. E. Hines - Ottumwa Regional Health Center
- Resource Type
- Journal article
- Publication Details
- Brain injury, Vol.9(5), pp.427-436
- Publisher
- Informa UK Ltd
- DOI
- 10.3109/02699059509008202
- PMID
- 7550214
- ISSN
- 0269-9052
- eISSN
- 1362-301X
- Language
- English
- Date published
- 1995
- Academic Unit
- Radiology; Stead Family Department of Pediatrics
- Record Identifier
- 9984318704402771
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