Peer-Reviewed Journal Details
Mandatory Fields
Crossley, M,Shiel, A,Wilson, B,Coleman, MR,Gelling, L,Fryer, T,Boniface, S,Pickard, J
Brain Injury
Monitoring emergence from coma following severe brain injury in an octogenarian using behavioural indicators, electrophysiological measures and metabolic studies: A demonstration of the potential for good recovery in older adults
Optional Fields
severe brain injury coma recovery interdisciplinary assessment older adults case study GLASGOW OUTCOME SCALE WESSEX HEAD-INJURY MATRIX SF-36 AGE
This case study describes a multi-disciplinary investigation of the emergence from coma of an 80-year old female (KE) following severe traumatic brain injury. The relationship between cognitive/behavioural ability and the integrity of cerebral function was assessed using neuropsychological measures, positron emission tomography, electroencephalography, somatosensory evoked potentials and trans-cranial magnetic stimulation. These investigations were performed as KE was beginning to emerge from coma (4 weeks) and, again, similar to 1 year following brain injury, when she was judged to have achieved her maximum level of recovery. Neuropsychological measures revealed improvement during the first year post-injury in KE's speed of information processing, memory and executive abilities. Electrophysiological and metabolic studies indicated a restoration of functional integrity that was consistent with the gradual recovery in higher brain function documented using behavioural procedures. This case study demonstrates the rehabilitation potential of pre-morbidly healthy older adults following severe traumatic brain injury.
DOI 10.1080/02699050400013733
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