Closed head injuries in adolescents are a common problem with potentially disastrous consequences to multiple areas of functioning. Through a case presentation and literature review, this paper considers treatment issues and research applications in an adolescent population with closed head injuries. Suggestions for understanding the symptom constellations are made and directions for future research and service delivery are given.
References
1.
AdamovitchB.B., HendersonJ.A., AuerbachS.Cognitive rehabilitation of closed head injury patients.San Diego CA: College Hill Press, 1984.
2.
SilverJ., YudofskyS., HalesR.Neuropsychiatric aspects of traumatic brain injury. In: HalesR., YudofskyS., eds. Textbook of neuropsychiatry.Washington DC: American Psychiatric Press, Inc.,1987.
3.
StrongI., MacMillanR., JennettB.Head injuries in accident and emergency departments at Scottish hospitals.Injury1978; 10: 154–159.
4.
JennettB., MacMillanR.Epidemiology of head injury.Br Med J1981; 1: 101–104.
5.
CooperP.R.Head injury.Baltimore MD: Williams & Wilkins,1982.
6.
AdamsJ., GrahamD., MurrayL.Diffuse axonal injury due to non-missile injury in humans.Ann Neurol1982; 12: 557–563.
7.
BrooksN.Closed head injury: psychological, social and family consequences.New York: Oxford University Press,1984.
8.
LevinH., BentonA., GrossmanR.Neurobehavioural consequences of closed head injury.New York: Oxford University Press,1982.
9.
NarayanR., GreenbergR., MillarJ.Improved confidence of outcome prediction in severe head injury.J Neurosurg1981; 54: 751–762.
10.
McClellandR.A neurological investigation of minor head injury. In: PapakosostopoulosD., ButlerS., MartinI., eds. Clinical and experimental neurophysiology.London: Croom Helm,1985.
11.
TsubokawaT., NishimotoH., YamamotoT.Assessment of brainstem damage by the auditory brainstem response in acute head injury.J Neurol Neurosurg Psychiatry1980; 43: 1005–1011.
12.
LishmanW.A.The psychiatric sequelae of head injury: a review.Psychol Med1973; 3: 304–318.
13.
DikmenS., ReitanR.Emotional sequelae of head injury.Ann Neurol1977; 2: 492–494.
14.
LevinH., GrossmanR.Behavioural sequelae of closed head injury: a quantitative study.Arch Neurol1978; 35: 720–727.
15.
KeshavanM.S., ChannabaravannaS.M., Narayana ReddyG.N.Post-traumatic psychiatric disturbances: patterns and predictors of outcome.Br J Psychiatry1981; 157–160.
16.
FilleyC., CranbergL.D., AlexanderM.Neurobehavioural outcome after closed head injury in childhood and adolescence.Arch Neurol1987; 44: 194–198.
17.
DikmenS., McLeanA., TemkinN.Neuropsychological and psychosocial consequences of minor head injury.J Neurol Neurosurg Psychiatry1986; 49: 1227–1232.
18.
BrackenP.Mania following head injury.Br J Psychiatry1987; 150: 690–692.
19.
RiessH., SchwartzC., KlermanG.L.Manic syndrome following head injury: another form of secondary mania.J Clin Psychiatry1987; 48: 29–30.
20.
ShuklaS., CookB.L., MukherjeeS.Mania following head trauma.Am J Psychiatry1987; 144: 93–96.
21.
SinananK.Mania as a sequel to a road traffic accident.Br J Psychiatry1984; 144: 330–331.
22.
JampalaV.C., AbramsR.Mania secondary to left and right hemisphere damage.Am J Psychiatry1983; 140: 1197–1199.
StarksteinS., PearlsonG., BostonJ.Mania after brain injury: a controlled study of causative factors.Arch Neurol1987; 44: 1069–1073.
25.
BrooksD.N., McKinlayW.Personality and behavioural change after severe blunt head injury: a relative's view.J Neurol Neurosurg Psychiatry1983; 46: 336–344.
26.
LezakM.Living with the characterologically altered brain injured patient.J Clin Psychiatry1978; 39: 592–598.
27.
BrooksD., CampsieL., SymingtonC.The five year outcome of severe blunt head injury.J Neurol Neurosurg Psychiatry1986; 49: 764–770.
28.
BrownG., ChadwickO., ShafferD.A prospective study of children with head injuries: III. Psychiatric sequelae.Psychol Med1981; 11: 63–78.
29.
RutterM.Psychological sequelae of brain damage in children.Am J Psychiatry1981; 138: 1533–1544.
30.
RobinsonR., SzetalaB.Mood change following left hemisphere brain injury.Ann Neurol1981; 9: 447–453.
GainottiG.Emotional behaviour and hemispheric side of the lesion.Cortex1972; 8: 41–55.
33.
GrafmanJ.The effects of lateralized frontal lesions on mood regulation.Brain1986; 109: 1127–1148.
34.
Flor-HenryP.On certain aspects of the localization of the cerebral systems regulating and determining emotion.Biol Psychiatry1979; 14: 677–698.
35.
SaranA.Depression after minor closed head injury: role of dexamethasone suppression test and antidepressants.J Clin Psychiatry1985; 46: 335–338.
36.
TyermanA., HumphreyM.Changes in self-concept following severe head injury.Int J Rehab Research1984; 7: 11–23.
37.
ReiserD.E., LevensonH.Abuses of the borderline diagnosis: a clinical problem with teaching opportunities.Am J Psychiatry1984; 141: 1528–1532.
38.
TateR.L.Behaviour management techniques for organic psychosocial deficit incurred by severe head injury.Scand J Rehab Med1987; 19: 19–24.
39.
EamesP., WoodR.Rehabilitation after severe brain injury.J Neurol Neurosurg Psychiatry1985; 48: 613–619.
40.
McClellandR.Psychosocial sequelae of head injury: anatomy of a relationship.Br J Psychiatry1988; 53: 141–146.
41.
SternB., SternJ.Neuropsychological outcome during late stage of recovery from brain injury.Scand J Rehab Med (Suppl)1985; 12: 27–30.
42.
SlaterE., BassettS.Adolescents with closed head injuries: a report of initial cognitive deficits (in press).
43.
LevinH., EisenbergH.Neuropsychological outcome of closed head injury in children and adolescents.Child's Brain1979; 5: 281–292.
44.
RichardsonF.Some effects of severe head injury.Dev Med Child Neurol1963; 5: 471–482.
45.
CosteffH., GrosswasserZ., LandmanY.Survivors of severe traumatic brain injury in childhood: late residual disability.Scand J Rehab Med (Suppl)1985; 12: 10–15.
46.
LivingstonM.Assessment of need for co-ordinated approach in families with victims of head injury.Br Med J1986; 293: 742–744.
47.
LivingstonM., BrooksD., BondM.Patient outcome in the year following severe head injury and relative psychiatric and social functioning.J Neurol Neurosurg Psychiatry1985; 48: 876–881.
48.
LewinW.Rehabilitation needs of the brain injured patient.Proc Roy Soc Med1970; 63: 8–10.
49.
OddyM., HumphreyM., UttleyD.Subjective impairment and social recovery after closed head injury.J Neurol Neurosurg Psychiatry1978; 41: 611–616.
50.
OddyM., CoughlanT., TyermanA.Social adjustment after closed head injury: a further follow-up seven years after injury.J Neurol Neurosurg Psychiatry1985; 48: 564–568.
51.
OddyM., HumphreyM., UttleyD.Stresses upon the relatives of head injured patients.Br J Psychiatry1978; 133: 507–513.
52.
ThomsenI.The patient with severe head injury and his family.Scand J Rehab Med1974; 2: 6180–6183.
53.
RosenbaumM., NajensonT.Changes in life patterns and symptoms of low mood as reported by wives of severely brain-injured soldiers.J Consult Clin Psychol1976; 44: 881–888.
