TY - JOUR
PY - 2014//
TI - Cognitive recovery after severe traumatic brain injury in children/adolescents and adults: similar positive outcome but different underlying pathways?
JO - Brain injury
A1 - Tavano, Alessandro
A1 - Galbiati, Susanna
A1 - Recla, Monica
A1 - Bardoni, Alessandra
A1 - Dominici, Chiara
A1 - Pastore, Valentina
A1 - Strazzer, Sandra
SP - 900
EP - 905
VL - 28
IS - 7
N2 - Primary objective: Does younger age at the time of severe traumatic brain injury (STBI) protect from cognitive symptoms? To answer this question, the authors compared the neuropsychological profile of late school-age children/adolescents and young adult patients at mid- and long-term recovery periods (6 and 12 months post-STBI).
METHODS and procedures: Twenty-eight children/adolescents and 26 clinically matched adults were tested on measures of general intelligence, attention, executive functions, visuoperceptual, visuospatial and visuoconstructive abilities. Coma duration and the post-acute Glasgow Outcome Scale (GOS) score were used as predictor variables in a series of regression analyses. Main outcomes and results: Children/adolescents and adults similarly improved on most measures, except for visuospatial and visuoconstructive skills, which worsened in time for children/adolescents. Coma duration significantly predicted performance IQ and visuoperceptual scores in children/adolescents. The GOS score significantly predicted performance and verbal IQ, sustained attention, visuoconstructive and long-term memory skills. Coma duration predicted executive function skills in both age groups.
CONCLUSIONS: (1) No evidence was found for a neuroprotective effect of younger age at STBI; and (2) Coma duration and GOS score predicted neuropsychological recovery in children/adolescents and adults, respectively. This suggests the existence of underlying age-specific recovery processes after STBI. Language: en
LA - en
SN - 0269-9052
UR - http://dx.doi.org/10.3109/02699052.2014.890742
ID - ref1
ER -