TBI: Clinical Manifestations Flashcards
Why are cognitive deficits common in TBI patients?
frontal lobe damage is common
Cognitive deficits common with TBI
Arousal dysfunction
Disorientation
Poor attention span
Loss of memory
Poor organization + reasoning skills
Inability to control emotional responses
Learning difficulties
“Walkie Talkie Patients” refers to
a pt who can ambulate independently with AD negotiating barriers but might not recall their name or family members.
“Walkie Talkie patients” often…
confabulate stories
Executive function is associated with pre-frontal cortex damage and results in
impairments to:
- volition/planning, - problem solving,
- insight,
- social pragmatics,
- self-regulation
- motivation, preparation, and organization,
- Impulsivity
- Mood disturbances
- organization
What memory deficits are commonly see with TBI?
- Retrograde +/- anterograde amnesia
- Post-traumatic amnesia
- STM > LTM deficits
- Declarative and procedural memory impairments
What language deficits are commonly see with TBI?
- Often d/t cognition
- Disorganize, tangential oral and written communication
- imprecise language,
- word-retrieval difficulties,
- Disinhibited language
Behavioral issues are the most enduring and socially disabling impairment after TBI. What common S&S of behavioral issues?
Sexual disinhibition
Apathy
Aggressive disinhibition
Hyperactive, restless
Low frustration tolerance
Depression
Easily over stimulated
Orbitofrontal lobe syndrome S&S
- Impulsive
- Inappropriate jocular affect, euphoric
- Emotional lability
- Poor judgement + insight
- Distractibility
Frontral Convexity Syndrome
- Apathy
- Indifference
- Psychomotor retardation
- Motor perseveration and impersistence
- Stimulus- bound behavior
- Motor programming deficits
- Poor word list generation
Frontal lobe syndrome is also known as
dysexecutive syndrome
Hemiparesis/plegia is most commonly see in _________ with TBI.
focal lesions
Diffuse injuries result in
motor control and coordination deficits.
Tone abnormalities can vary widely. What can be seen in TBI patients?
Flaccidity, rigidity, spasticity, posturing, primitive + tonic reflexes
Most common sensory deficits with TBI
proprioceptive + kinesthetic
