Late outcome after severe traumatic brain injury in children and adolescents.

Abstract

OBJECTIVES Eighteen surviving adolescents with severe traumatic brain injury were re-examined a mean period of 7.1 years after their trauma in order to determine their life situation, motor, cognitive functions and pattern of handicap. METHODS A structured interview, the EB test of motor function, Ravens's progressive matrices, Peabody's neuropsychological test, SPIQ and the WHO classification of handicap were used. RESULTS The group had a mean WHO Classification of Handicap score of 1.61 (SD 1.60) revealing mild handicap, and performed as a group significantly subnormal (p < 0.0001) in gross motor, fine motor, sensibility and perception sub-tests. The EB test revealed a mean value of 2.23 (SD 0.89) corresponding to mild disability. The mean non-verbal IQ score of 93.1 (SD 13.9) and the verbal score of 93.4 (SD 14.8) were within normal limits. CONCLUSIONS Only 28% of the group of surviving adolescent TBI victims functioned within normal limits. The most crucial disabling component was poor social integration, which was clearly demonstrated in the WHO score.

Cite this paper

@article{Emanuelson1998LateOA, title={Late outcome after severe traumatic brain injury in children and adolescents.}, author={Ingrid M Emanuelson and Lennart O von Wendt and Eva R E Beckung and Ingrid Hagberg}, journal={Pediatric rehabilitation}, year={1998}, volume={2 2}, pages={65-70} }