Clinical and Neuropsychological Aspects of Closed Head Injury

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Edition: 2nd
Format: Hardcover
Pub. Date: 2000-06-07
Publisher(s): Psychology Pres
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Summary

In all industrialised countries, closed head injuries are responsible for vast numbers of hospital admissions and days of work lost. For instance, about 120,000 patients are admitted to hospital in the United Kingdom each year with a diagnosis that reflects closed head injury. Such injuries are a major cause of deaths following accidents, especially those that involve children and young people, and they are also a major cause of handicap and morbidity among the survivors. This clinical condition is intrinsically a neurological one, but its proper evaluation demands an understanding of the associated psychology and psychopathology. At the same time, a major neurological condition with such a high level of incidence ought to be extremely informative about the functioning of the human brain and hence provide a major focus for neuropsychological investigation. In this book, the author seeks to integrate these two different perspectives by reviewing the clinical and neuropsychological aspects of closed head injury in a manner that is equally intelligible to researchers interested in the effects of brain damage upon human behaviour and to practitioners who are responsible for the assessment, management and rehabilitation of head-injured patients. This is the second edition of a book which was first published in 1990, and which has been extensively revised in the light of the subsequent research in the field. The book begins by considering the epidemiology, causes and structural neuropathology of closed head injury. It then considers the impact of closed head injury on memory, cognition, language, communication, personality and social behaviour. Finally it outlines the outcome, the mechanisms of recovery and the prospects for rehabilitation.

Table of Contents

Acknowledgements vii
Series preface ix
Abbreviations x
Definitions, epidemiology, and causes
1(38)
Definitions
2(14)
Epidemiology
16(10)
Mortality
26(4)
Causes
30(6)
Overview
36(3)
Mechanisms of structural pathology
39(34)
Cerebral contusions
41(8)
Diffuse axonal injury
49(8)
Secondary brain damage
57(12)
Overview
69(4)
Retrograde amnesia and post-traumatic amnesia
73(24)
Retrograde amnesia
74(6)
Post-traumatic amnesia
80(14)
Overview
94(3)
Memory function
97(28)
Memory function following minor closed head injury
98(6)
Memory function following severe closed head injury
104(19)
Overview
123(2)
Congnition and language
125(32)
Cognitive function
125(14)
Verbal and nonverbal intelligence
139(7)
Disorders of language
146(9)
Overview
155(2)
Subjective complaints and personality disorders
157(32)
Postconcussional symptoms
157(19)
Personality disorders
176(5)
Family relationships
181(5)
Overview
186(3)
Outcome, recovery, and rehabilitation
189(44)
Measures of outcome
189(15)
Recovery of function
204(12)
The process of recovery
216(5)
Rehabilitation
221(10)
Overview
231(2)
References 233(46)
Author index 279(9)
Subject index 288

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