Patient with dysexecutive syndrome after brain injury - case report

Patrycja Daniela Łanowy, Jarosław Szczygieł

Abstract


Traumatic brain injury is usually caused by multiple kinds of falls, violence with head injury or traffic incidents. In this article, we describe the case of a 51-years-old patient with craniocerebral trauma, requiring the introduction into a pharmacological coma. The patient was diagnosed with a hemorrhagic contusion of the frontal lobes with numerous intracerebral hematomas, significant local cerebral edema, hematomas at the cerebral frontal and temporal lobes, subarachnoid bleeding in the cerebellar tent. After the brain injury patient demonstrates features of the dysexecutive syndrome, her disability on the Rankin’s scale was rated with 5 grade. Thanks to properly selected drug therapy and conducting properly targeted rehabilitation, the patient's condition improved spectacularly, and the patient gained independence.

Keywords


DES, frontal lobe syndrome, TBI, traumatic brain injury, brain contusion, rehabilitation

Full Text:

PDF

References


Kulesza B, Litak J, Grochowski C, Nogalski A. Urazowe uszkodzenie mózgu. Traumatic brain injury, Journal of Education, Health and Sport. 2016;6(12):215–221.

Majdan M, Plancikova D, Bazinova A, Rusnak M, Nieboer D, Feigin V, Maas A. Epidemiology of traumatic brain injuries in Europe: a cross-sectional analysis 2016;1(2):76-83.

Zappalà G, Thiebaut de Schotten M, Eslinger PJ. Traumatic brain injury and the frontal lobes: what can we gain with diffusion tensor imaging? Cortex. 2012;48(2):156-65. doi: 10.1016/j.cortex.2011.06.020.

Ahmed S, Venigalla H, Mekala HM, Dar S, Hassan M, Ayub S. Traumatic Brain Injury and Neuropsychiatric Complications. Indian J Psychol Med. 2017;39(2):114–121. doi:10.4103/0253-7176.203129.

Brazinova A, Rehorcikova V, Taylor MS, Buckova V, Majdan M, Psota M, Peeters W, Feigin V, Theadom A, Holkovic L. Epidemiology of Traumatic Brain Injury in Europe: A Living Systematic Review. J Neurotrauma. 2016;22(1):1-30. doi:10.1089/neu.2015.4126.

Kurland D, Hong C, Aarabi B, Gerzanich V, Simard JM. Hemorrhagic progressio of a contusion after traumatic brain injury: a review. J Neurotrauma. 2012;29(1):19–31. doi:10.1089/neu.2011.2122.

Rubin AN, Espiridion ED, Lofgren DH. A Sub-acute Cerebral Contusion Presenting with Medication-resistant Psychosis. Cureus. 2018;10(7):29-38. doi:10.7759/cureus.2938

Ghandehari K, Ghandehari K, Saffarian-Toosi G, et al. Comparative interrater reliability of Asian Stroke Disability Scale, modified Rankin Scale and Barthel Index in patients with brain infarction. ARYA Atheroscler. 2012;8(3):153–157.

Barthel Activities of Daily Living (ADL) Index. Occas Pap R Coll Gen Pract. 1993;(59):24.

Broderick JP, Adeoye O, Elm J. Evolution of the Modified Rankin Scale and Its Use in Future Stroke Trials. Stroke. 2017;48(7):2007–2012. doi:10.1161/STROKEAHA.117.017866

Pirau L, Lui F. Frontal Lobe Syndrome. [Updated 2018 Dec 19]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2019 Jan.

Seniów J, Szutkowska-Hoser J. Dysfunkcje wykonawcze w wyniku ogniskowego uszkodzenia mózgu: ocena i terapia. Neurologia po Dyplomie 2013;8(6):44-50.

Campbell JK, Duffy JD, Salloway SP. Treatment strategies for patients with dysexecutive syndromes. The Journal of Neuropsychiatry and Clinical Neurosciences.1994:6(4):411–418. doi:10.1176/jnp.6.4.411 

De Deyn PP, Reuck JD, Deberdt W, Vlietinck R, Orgogozo JM. Treatment of acute ischemic stroke with piracetam. Members of the Piracetam in Acute Stroke Study (PASS) Group. Stroke. 1997;28(12):2347-52.

Mei Z, Qiu J, Alcon S, et al. Memantine improves outcomes after repetitive traumatic brain injury. Behav Brain Res. 2018;340:195–204. doi:10.1016/j.bbr.2017.04.017

Trotman M, Vermehren P, Gibson CL, Fern R. The dichotomy of memantine treatment for ischemic stroke: dose-dependent protective and detrimental effects. J Cereb Blood Flow Metab. 2015;35(2):230–239. doi:10.1038/jcbfm.2014.188

Baddeley A. Frontal Amnesia and the Dysexecutive Syndrome. Brain and Cognition. 1988;7(2): 212-230.




DOI: http://dx.doi.org/10.5281/zenodo.3459081

Refbacks

  • There are currently no refbacks.




Copyright (c) 2019 © The Author(s)

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Journal of Education, Health and Sport formerly Journal of Health Sciences

Declaration on the original version.

Editors indicates that the main version of the magazine is to issue a "electronic".

The journal has had 5 points in Ministry of Science and Higher Education parametric evaluation. § 8. 2) and § 12. 1. 2) 22.02.2019.

1223 Journal of Education, Health and Sport eISSN 2391-8306 7

ISSN 2391-8306 formerly ISSN: 1429-9623 / 2300-665X

Archives 2011 - 2014

PBN 2011 - 2014

https://pbn.nauka.gov.pl/sedno-webapp/search?search&searchCategory=WORK&filter.inJournal=36616

POL-index 2011 - 2014

https://pbn.nauka.gov.pl/polindex-webapp/browse/journal/journal-32a319c5-a850-4f44-ba70-1418a6087655

BASE 2011 - 2014

https://www.base-search.net/Search/Results?lookfor=Journal+of+Health+Sciences+%28Radom%29&type=all&oaboost=1&ling=1&name=&thes=&refid=dcrespl&newsearch=1

http://elibrary.ru/contents.asp?titleid=37467

http://journal.rsw.edu.pl/index.php/JHS/issue/archive

Indexed in Bases, Bazy indeksacyjne: ERIH Plus, Worldcat, PBN/POL-Index, ICI Journals Master List, Directory of Open Access Journals (DOAJ), ZBD, Ulrich's periodicals, Google Scholar, Polska Bibliografia Lekarska

US NLM = 101679844

101679844 - NLM Catalog Result - NCBI

https://www.ncbi.nlm.nih.gov/nlmcatalog/101679844

Find a library that holds this journal: http://worldcat.org/issn/23918306

Journal Language(s): English 

PBN Poland

https://pbn.nauka.gov.pl/sedno-webapp/journals/49068

POL-index

https://pbn.nauka.gov.pl/polindex-webapp/browse/journal/journal-c39c8169-88d2-45db-9e7f-d948ce9981c4

BASE

https://www.base-search.net/Search/Results?join=AND&bool0[]=AND&lookfor0[]=2391-8306&type0[]=all&page=11&l=pl&oaboost=1&refid=dcpagepl

Redaction, Publisher and Editorial Office

Instytut Kultury Fizycznej Uniwersytet Kazimierza Wielkiego w Bydgoszczy, Institute of Physical Education Kazimierz Wielki University in Bydgoszcz, Poland 85-091 Bydgoszcz ul. Sportowa 2  www.ukw.edu.pl Copyright by Instytut Kultury Fizycznej UKW w Bydgoszczy http://ojs.ukw.edu.pl/index.php/johs  Open Access ISSN 2391-8306 formerly ISSN: 1429-9623 / 2300-665X

The journal has been approved for inclusion in ERIH PLUS.

The ERIH PLUS listing of the journal is available at https://dbh.nsd.uib.no/publiseringskanaler/erihplus/periodical/info?id=485984

SIC Science citation index (calculated on the basis of TCI and Page Rank) 0

Russian Impact factor 0.16

Indexed in Index Copernicus Journals Master List.

http://journals.indexcopernicus.com/Journal+of+Education+Health+and+Sport,p24782242,3.html

ICV 2018 = 95.95 ICV 2017 = 91.30 ICV 2016 = 84.69 ICV 2015 = 93.34 ICV 2014 = 89.51 Standardized Value: 8.27 ICV 2013: 7.32 ICV 2012: 6.41 ICV 20115.48

The InfoBase Index IBI Factor for the year 2015 is 3.56 in InfoBase Index.com.

Website: www.infobaseindex.com

Universal Impact Factor 1.78 for year 2012. (http://www.uifactor.org/AppliedJournals.aspx)

Indexed in Polish Scholarly Bibliography (PBN) (PBN Polska Bibliografia Naukowa) (https://pbn.nauka.gov.pl/journals/36616)

is a portal of the Polish Ministry of Science and Higher Education, collecting information on publications of Polish scientists and on Polish and foreign scholarly journals. Polish Scholarly Bibliograhpy is a part of POL-on - System of Information on Higher Education. It is operated by the Interdisciplinary Centre for Mathematical and Computational Modelling, University of Warsaw.

Indexed in Russian Sciences Index Российский индекс научного цитирования (РИНЦ) http://elibrary.ru/contents.asp?titleid=37467

Indexed in Arianta Polish scientific and professional electronic journals Aneta Drabek i Arkadiusz Pulikowski

(http://www1.bg.us.edu.pl/bazy/czasopisma/czasop_full.asp?id=3595)