Irritability Following Traumatic Brain Injury
作者:
SANG KIM,
FACUNDO MANES,
TODD KOSIER,
SANKAR BARUAH,
ROBERT ROBINSON,
期刊:
The Journal of Nervous and Mental Disease
(OVID Available online 1999)
卷期:
Volume 187,
issue 6
页码: 327-335
ISSN:0022-3018
年代: 1999
出版商: OVID
数据来源: OVID
摘要:
This study was undertaken to identify the clinical and pathoanatomical correlates of irritability in patients with closed head injuries. A consecutive series of 66 patients was assessed in hospital and at 3, 6, 9, and 12-month follow-ups. Patients fulfilling criteria for irritability were divided into 2 groups based on the immediate or delayed onset of their irritability and compared with patients without irritability for background characteristics, impairment variables, and lesion characteristics. There were 12 patients (18.2%) with acute onset irritability and 10 (15.1%) with delayed onset irritability. Acute onset irritability patients had a higher frequency of left cortical lesions. Delayed onset irritability patients showed a strong association with poor social functioning and greater impairment in activities of daily living. The findings suggest that post-brain injury irritability may have different causes and treatment in the acute and chronic stages.
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