FRONTAL SYNDROME IN PATIENTS AWAKENED FROM PROLONGED POST-TRAUMATIC COMA
Journal Title: Acta Neuropsychologica - Year 2008, Vol 6, Issue 3
Abstract
[b]Introduction.[/b] Frontal syndrome, which manifests itself in characteristic personality changes and behavioral disorders, is a frequent after-effect of traumatic brain injury (TBI). There have been no published studies, however, directly indicating the presence of this syndrome in patients aroused from prolonged post-traumatic coma, nor is it known whether or not the duration of the coma influences the course or nature of the syndrome in particular cases. The goal of our study was to fill this gap.[b]Materials and methods.[/b] 38 patients treated in the Rehabilitation Clinic at the Ludwik Rydygier Medical University in Bydgoszcz, Poland, participated in the trial. They were divided into 2 groups: group A included 18 patients aroused from a short-term post-traumatic coma, while group B consisted of 20 patients aroused from a prolonged post-traumatic coma. Frontal lobe lesions were confirmed radiologically in each case. The authorized Polish version of the Frontal Behavioral Inventory (FBInv) by Kertesz et al. was used to measure frontal syndrome.[b]Results.[/b] Symptoms of frontal syndrome as measured by the FBInv occurred in both groups, but the results in group B were significantly worse than in group A, suggesting a more severe frontal syndrome.[b]Conclusions.[/b] Our patients recovering from prolonged post-traumatic coma showed more intense disturbances in particular frontal syndrome features. Further research is needed to enlarge the analysis to encompass the possible influence of other important factors on the clinical picture of the patient aroused from prolonged coma.
Authors and Affiliations
Rafał Stabrawa, Hubert Trzebiński, Bożena Grochmal-Bach, Katarzyna Markiewicz, Henryk Olszewski, Edyta Łapkiewicz
Keywords
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