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Delineating Communication Impairments Associated With Mild Traumatic Brain Injury: A Case Report

Whelan, Brooke-Mai PhD; Murdoch, Bruce E. PhD, DSc; Bellamy, Nicholas MD, MSc, MBA, FRACP

Section Editor(s): Caplan, Bruce PhD, ABPP, Issue Editor

Journal of Head Trauma Rehabilitation: May-June 2007 - Volume 22 - Issue 3 - p 192–197
doi: 10.1097/01.HTR.0000271120.04405.db
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Background Mild traumatic brain injury (mTBI) without frank neurological disturbance has been linked to persistent physical, cognitive, and affective disturbances in some cases. The cognitive sequelae of this syndrome represent the most frequently studied symptoms, yet the legacy of such injuries on communicative functions remains largely undetermined.

Methods A detailed language profile of a 19-year-old woman, 1 year 10 months following mTBI is compared with a matched normative cohort of 10 participants with nonneurological impairment.

Results Deficits in attention, lexical access, complex lexical-semantic manipulation, response monitoring, and organization were revealed as a consequence of mTBI.

Conclusions This profile provides support for hypotheses pertaining to neuronal fallout mechanisms within the frontal lobes as a consequence of mild neurological insult.

Motor Speech and Neurogenic Language Research Centre, Division of Speech Pathology, School of Health and Rehabilitation Sciences (Drs Whelan and Murdoch); and the Centre of National Research on Disability and Rehabilitation Medicine (Dr Bellamy), University of Queensland, Brisbane, Australia.

Corresponding author: Brooke-Mai Whelan, PhD, Motor Speech and Neurogenic Language Research Centre, Division of Speech Pathology, School of Health and Rehabilitation Sciences, University of Queensland, Brisbane 4072, Australia (e-mail: bmw@uq.edu.au).

© 2007 Lippincott Williams & Wilkins, Inc.