Traumatic Brain Injury

Mary L. Dombovy, MD, MHSA, FAAN Neurorehabilitation p. 584-605 June 2011, Vol.17, No.3 doi: 10.1212/01.CON.0000399074.07686.76
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Traumatic brain injury (TBI) is a leading cause of death and disability in both children and adults. TBI is complex, as it involves injury to multiple brain areas caused by both the initial injury and secondary events. The most persistent sequelae of TBI are cognitive and behavioral, reflecting the fact that the preponderance of damage is to the frontal lobes. Although the sequence of recovery follows a pattern, TBI is a heterogeneous disorder and rehabilitation programs must be tailored to the needs of the individual and his or her social situation. Specific therapy approaches, environmental structure, and medications all play a role. Many of the emerging approaches to facilitating CNS plasticity can be applied.

Address correspondence to Dr Mary L. Dombovy, Unity Health System, Dept of Physical Medicine and Rehabilitation, 89 Genesee St, Rochester, NY 14611-3201, [email protected].

Relationship Disclosure: Dr Dombovy's institution is compensated for her litigation and testimony.

Unlabeled Use of Products/Investigational Use Disclosure: Dr Dombovy discusses the unlabeled use of pharmaceuticals and information on investigational treatments.

© 2011 American Academy of Neurology