Rm. Ruff et al., SELECTED CASES OF POOR OUTCOME FOLLOWING A MINOR BRAIN TRAUMA - COMPARING NEUROPSYCHOLOGICAL AND POSITRON EMISSION TOMOGRAPHY ASSESSMENT, Brain injury, 8(4), 1994, pp. 297-308
Neuropsychological residua are common particularly in the early stages
following a minor traumatic brain injury (TBI), however, a minority o
f individuals complain of persistent deficits following months or year
s post-accident. Nine such cases are presented with little or no evide
nce of brain damage demonstrated according to non-functional neuroimag
ing (for example CT, MRI), yet their neuropsychological examinations w
ere positive. Since the introduction of positron emission tomography (
PET), which captures afunctional approach, the question arose as to wh
at extent the two techniques (i.e. PET and neuropsychological examinat
ion) are interrelated. All nine minor TBI cases revealed a corroborati
on between the positive neuropsychological findings confirmed on the P
ET. The PET procedure documented neuropathology which frequently was p
ronounced in the frontal and anteriotemporo-frontal regions. Moreover,
no significant differences were evident between those five cases with
reported loss of consciousness vs. those four cases without.