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Neuropsychiatric Assessment of Traumatic Brain Injury During Acute Neurorehabilitation*

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Neuropsychiatric Disorders

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Abstract

Traumatic brain injury (TBI) is a common and costly problem worldwide. In the United States, 1.5 million people sustain TBI each year, and approximately 230,000 of these require hospitalization for management of their injury. The majority of TBI resulting in hospitalization are moderate to severe in nature and produce significant mortality and morbidity. Among those surviving their injuries, most will develop cognitive, emotional, and behavioral (collectively referred to here as neuropsychiatric) disturbances in the acute postinjury period and will require acute rehabilitation management. These posttraumatic neuropsychiatric sequelae present substantial clinical management challenges that the consulting neuropsychiatrist is well suited to evaluate and manage. In the service of offering the consulting neuro­psychiatrist with information that may be of use in the care of persons with TBI receiving care in the acute neurorehabilitation setting, this chapter first defines and describes TBI and reviews the neuroanatomical and neurobehavioral consequences of TBI relevant to understanding posttraumatic neuropsychiatric disturbances. These disturbances are organized under the framework of posttraumatic encephalopathy, and the characteristic forms and stages of recovery of this condition are discussed. Finally, a neuropsychiatric approach to the evaluation of persons with TBI in the acute inpatient neurorehabilitation setting is described.

This work was supported in part by HealthONE Spalding Rehabilitation Hospital.

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Authors and Affiliations

  1. Brain Injury Rehabilitation Unit, HealthONE Spalding Rehabilitation Hospital, Aurora, CO, USA

    David B Arciniegas

  2. Neurobehavioral Disorders Program, Department of Psychiatry, School of Medicine, University of Colorado Denver, 13001 East 17th Place, Campus Box F546, Aurora, CO, 80045, USA

    David B Arciniegas

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  1. Jinmeikai Research Institute for Mental Health, 53-20 Kabutoyama-cho, Nishinomiya, Hyogo, 662-0001, Japan

    Koho Miyoshi M.D., Ph.D. (Director, The former Professor) & Yasushi Morimura M.D., Ph.D. (Chief Executive Officer) (Director, The former Professor) &  (Chief Executive Officer)

  2. Ohmura Hospital, 200 Kitayama-Ohmura, Miki, Hyogo, 673-0404, Japan

    Koho Miyoshi M.D., Ph.D. (Director, The former Professor) (Director, The former Professor)

  3. Department of Occupational Therapy, Kobe Gakuin University School of Rehabilitation, 518 Ikawadani-cho, Nishi-ku, Kobe, 651-2180, Japan

    Kiyoshi Maeda M.D., Ph.D. (Professor) (Professor)

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Arciniegas, D.B. (2010). Neuropsychiatric Assessment of Traumatic Brain Injury During Acute Neurorehabilitation* . In: Miyoshi, K., Morimura, Y., Maeda, K. (eds) Neuropsychiatric Disorders. Springer, Tokyo. https://doi.org/10.1007/978-4-431-53871-4_10

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