 |
|
Cognition in Relation to Magnetic Resonance Imaging in Head-Injured Children and Adolescents
Harvey S. Levin, PhD;
Kathleen A. Culhane, MA;
Dianne Mendelsohn, MD;
Matthew A. Lilly;
Derek Bruce, MD;
Jack M. Fletcher, PhD;
Sandra B. Chapman, PhD;
Harriet Harward, MA;
Howard M. Eisenberg, MD
Arch Neurol. 1993;50(9):897-905.
Abstract
| |
• To investigate the relationship between cognitive sequelae and magnetic resonance imaging (MRI) findings following closed head injury of varying severity in the pediatric age range, 76 head-injured children and adolescents were studied at least 3 months after trauma and compared with 57 normal controls. Problem solving, planning, verbal and design fluency, memory, and response modulation were assessed. Significant effects of injury were obtained on all of the cognitive measures. Cognitive impairment was more consistently present on the various outcome measures in children who were 6 to 10 years old at the time of the study than in the older children and adolescents. Magnetic resonance imaging disclosed areas of abnormal signal in the frontal lobes of 42 patients, whereas focal lesions restricted to the extrafrontal region were found in 15 children. Regression analyses disclosed that taking into account the size of frontal lobe lesion enhanced the relationship between cognitive performance and the severity of injury.
Author Affiliations
From the Division of Neurosurgery, University of Texas Medical Branch, Galveston (Drs Levin and Eisenberg, Mss Culhane and Harward, and Mr Lilly); the Departments of Radiology (Dr Mendelsohn) and Neurosurgery (Dr Bruce), University of Texas Southwestern Medical School, and Callier Center for Communication Disorders, University of Texas (Dr Chapman), Dallas; and the Department of Pediatrics, University of Texas Medical School, Houston (Dr Fletcher).
Footnotes
Accepted for publication February 9, 1993.
Reprint requests to Division of Neurosurgery, D73, University of Texas Medical Branch, Galveston, TX 77555-0473 (Dr Levin).
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
|
Executive Functioning in the First Year After Pediatric Traumatic Brain Injury
Sesma et al.
Pediatrics 2008;121:e1686-e1695.
ABSTRACT
| FULL TEXT
Context-Sensitive Cognitive-Behavioral Supports for Young Children With TBI: A Second Replication Study
Feeney and Ylvisaker
Journal of Positive Behavior Interventions 2008;10:115-128.
ABSTRACT
Neurodevelopmental Outcome After Severe Traumatic Brain Injury in Very Young Children: Role for Subcortical Lesions
Bonnier et al.
J Child Neurol 2007;22:519-529.
ABSTRACT
Children's Attentional Skills 5 Years Post-TBI
Catroppa et al.
J Pediatr Psychol 2007;32:354-369.
ABSTRACT
| FULL TEXT
Cerebral correlates of declarative memory dysfunctions in early traumatic brain injury
Serra-Grabulosa et al.
J. Neurol. Neurosurg. Psychiatry 2005;76:129-131.
ABSTRACT
| FULL TEXT
Volume of focal brain lesions and hippocampal formation in relation to memory function after closed head injury in children
Di Stefano et al.
J. Neurol. Neurosurg. Psychiatry 2000;69:210-216.
ABSTRACT
| FULL TEXT
Children and adolescents with severe traumatic brain injury had verbal encoding deficits at 1 and 3 months after the injury
Fletcher
Evid. Based Ment. Health 1999;2:59-59.
FULL TEXT
Neuropsychological Consequences of Traumatic Brain Injury in Children and Adolescents
Lord-Maes and Obrzut
J Learn Disabil 1996;29:609-617.
ABSTRACT
Management of Attention and Memory Disorders Following Traumatic Brain Injury
Mateer et al.
J Learn Disabil 1996;29:618-632.
ABSTRACT
Assessing Children With Traumatic Brain Injury During Rehabilitation: Promoting School And Community Reentry
Farmer et al.
J Learn Disabil 1996;29:532-548.
ABSTRACT
Behavioral Outcomes After Pediatric Closed Head Injury: Relationships With Age, Severity, and Lesion Size
Fletcher et al.
J Child Neurol 1996;11:283-290.
ABSTRACT
Long-term Outcome After Severe Brain Injury in Preschoolers Is Worse Than Expected
Koskiniemi et al.
Arch Pediatr Adolesc Med 1995;149:249-254.
ABSTRACT
|
