Journal

The Japanese journal of neuropsychology

[Vol.40 No.4 contents]
Japanese/English

Full Text of this Article
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ArticleTitle Comprehensive assessment and treatment approaches for traumatic brain injury: addressing cognitive and psychiatric challenges
Language J
AuthorList Aiko Osawa1), Shinichiro Maeshima2)
Affiliation 1)Department of Rehabilitation Medicine, National Center for Geriatrics and Gerontology
2)Education and Innovation Center, National Center for Geriatrics and Gerontology
Publication Japanese Journal of Neuropsychology: 40 (4), 283-290, 2024
Received
Accepted
Abstract Traumatic brain injury (TBI) often result in both focal and diffuse brain damage. Furthermore, secondary damage and environmental factors can further complicate their clinical picture. Therefore, in order to understand the pathology of TBI and achieve accurate diagnosis, a comprehensive approach involving detailed neuropsychological assessment, MRI including T2*-weighted, diffusion-weighted images, and susceptibility weighted image, along with physiological assessments, is recommended. While activities of daily living in TBI patients are relatively easier to recover, cognitive decline tend to persist in complex or unfamiliar environments. Additionally, psychiatric symptoms and behavioral problems may impede return to work. Therefore, effective treatment and care for TBI should consider not only cognitive dysfunction, but also psychiatric symptoms and behavioral problems, as well as environmental factors.
Keywords traumatic brain injury, diagnosis, brain imaging evaluation, outcome

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