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CC BY-NC-ND 4.0 · Indian Journal of Neurosurgery 2021; 10(01): 020-025
DOI: 10.1055/s-0040-1714165
Original Article

Assessment of Memory among Traumatic Brain Injury Patients during Follow-Up at a Tertiary Health Care Facility in Rural Setting

Anamika Singh 
1   Department of Physiology, Uttar Pradesh University of Medical Sciences (UPUMS), Saifai, Etawah, Uttar Pradesh, India
,
Raj Kumar
2   Department of Neurosurgery, Uttar Pradesh University of Medical Sciences (UPUMS), Saifai, Etawah, Uttar Pradesh, India
,
Ahmad Ansari
2   Department of Neurosurgery, Uttar Pradesh University of Medical Sciences (UPUMS), Saifai, Etawah, Uttar Pradesh, India
,
Naresh Pal Singh 
3   Department of Community Medicine, Uttar Pradesh University of Medical Sciences (UPUMS), Saifai, Etawah, Uttar Pradesh, India
,
Amit Kant Singh
1   Department of Physiology, Uttar Pradesh University of Medical Sciences (UPUMS), Saifai, Etawah, Uttar Pradesh, India
› Author Affiliations Funding Self-financed research work.
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Abstract

Background Head injury is an important public health problem nowadays. Traumatic brain injury (TBI) results from external force that leads to damage to brain tissue. Main causes of TBI are motor vehicle collisions and fall from height. One of the primary symptoms after TBI is impaired word retrieval. Therefore, this study was undertaken to assess memory impairment in TBI patients following treatment to asses a residual memory status to declare them apt for official works if improved enough.

Objectives The purpose of this study was to assess memory impairment in TBI patients to assess the residual memory status following treatment.

Materials and Methods The study was conducted in Outpatient Department (OPD) of Neurosurgery, Uttar Pradesh University of Medical Sciences, Saifai, Etawah, Uttar Pradesh. The TBI patients were assessed by predesigned memory assessment questionnaire during their follow-up following discharge from hospital.

Results A total of 65 patients with TBI were assessed, of which 21 (32.3%) cases had frontal lobe injuries with 9 of 21 having memory loss (42.9% cases). The temporoparietal lobe was affected in 10 (15.4%) cases out of which 5 developed memory loss, that is, 50% cases. The multiple lobes were involved in 24 (36.9%) cases, out of which memory impairment occurred in 9 cases, that is, 37.5%. Four of total five cases (80%) of diffuse axonal injury had memory loss. Further, 16.9% (n = 11) TBI patients were unable to perform digit span test (immediate memory test), 44.6% (n = 29) cases could not perform three-word recall at 5 minutes (short-term memory test), and 15.4% (n = 10) cases could not perform (long-term memory test).

Conclusion The study showed that memory assessment is required in TBI patients for instituting proper rehabilitation measures and to allow them for sensitive memory-related work following discharge from hospital.

Keywords

traumatic brain injury - memory impairment


Publication History

Article published online:
01 March 2021

© 2021. Neurological Surgeons’ Society of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Kraus JF. Epidemiology. In: Elizabeth Frost, ed. NINS. Head Injury Clinical Management and Research. Geneva, Switzerland: AIREN (ISSN-1012–9871) 1990: 113-24
  • 2 Field JH. Epidemiology of head injury in England and Wales. London: Department of Health and Social Security, Her Majesty’s Stationary Office 1976
  • 3 Jennett B, MacMillan R. Epidemiology of head injury. Br Med J (Clin Res Ed) 1981; 282 (6258) 101-104
    CrossrefPubMedSearch in Google Scholar
  • 4 Selecki BR, Ring IT, Simpson DA, Vanderfield GK, Sewell MF. Trauma to the central and peripheral nervous systems: Part I: An overview of mortality, morbidity and costs; N.S.W. 1977. Aust N Z J Surg 1982 Feb;52(1):93–102
    PubMed
  • 5 Klauber MR, Barrett-Connor E, Marshall LF, Bowers SA. The epidemiology of head injury: a prospective study of an entire community-San Diego County, California, 1978. Am J Epidemiol 1981; 113 (05) 500-509
    CrossrefPubMedSearch in Google Scholar
  • 6 Edna TH, Cappelen J. Hospital admitted head injury. A prospective study in Trøndelag, Norway, 1979-80. Scand J Soc Med 1984; 12 (01) 7-14
    CrossrefPubMedSearch in Google Scholar
  • 7 Kraus JF, Black MA, Hessol N. et al. The incidence of acute brain injury and serious impairment in a defined population. Am J Epidemiol 1984; 119 (02) 186-201
    CrossrefPubMedSearch in Google Scholar
  • 8 Rogatzki MJ, Baker JS. Traumatic brain injury in sport with special focus on biomarkers of concussion injury. J Neurol Neurophysiol 2016; 7: 383
    CrossrefPubMedSearch in Google Scholar
  • 9 Huang SH, Zhou YH. Why molecular biomarkers of traumatic brain injury may never work: effects of glymphatic pathway dysfunction. J Trauma Treat 2016; 5: 309
    CrossrefPubMedSearch in Google Scholar
  • 10 Bruns Jr J, Hauser WA. The epidemiology of traumatic brain injury: a review. Epilepsia 2003; 44 (s10) 2-10
    CrossrefPubMedSearch in Google Scholar
  • 11 Kushner D. Mild traumatic brain injury: toward understanding manifestations and treatment. Arch Intern Med 1998; 158 (15) 1617-1624
    CrossrefPubMedSearch in Google Scholar
  • 12 Faul M, Xu L, Wald MM, Coronado VG. Traumatic brain injury in the United States: Emergency department visits, hospitalizations, and deaths, 2002–2006. National Center for Injury Prevention and Control, Centers for Disease Control and Prevention (2010). Available at: http://www. cdc. gov/traumaticbraininjury/statistics. html, 2010 - ci.nii.ac.jp. Accessed October 22, 2019.
    PubMed
  • 13 Yates PJ, Williams WH, Harris A, Round A, Jenkins R. An epidemiological study of head injuries in a UK population attending an emergency department. J Neurol Neurosurg Psychiatry 2006; 77 (05) 699-701
    CrossrefPubMedSearch in Google Scholar
  • 14 Maas AI, Stocchetti N, Bullock R. Moderate and severe traumatic brain injury in adults. Lancet Neurol 2008; 7 (08) 728-741
    CrossrefPubMedSearch in Google Scholar
  • 15 Langlois JA, Rutland-Brown W, Wald MM. The epidemiology and impact of traumatic brain injury: a brief overview. J Head Trauma Rehabil 2006; 21 (05) 375-378
    CrossrefPubMedSearch in Google Scholar
  • 16 Saatman KE, Duhaime AC, Bullock R, Maas AI, Valadka A, Manley GT. Workshop Scientific Team and Advisory Panel Members. Classification of traumatic brain injury for targeted therapies. J Neurotrauma 2008; 25 (07) 719-738
    CrossrefPubMedSearch in Google Scholar
  • 17 Ylvisaker M. Language and communication disorders following pediatric head injury. J Head Trauma Rehabil 1986; 1: 48-56
    CrossrefPubMedSearch in Google Scholar
  • 18 King KA, Hough MS, Walker MM, Rastatter M, Holbert D. Mild traumatic brain injury: effects on naming in word retrieval and discourse. Brain Inj 2006; 20 (07) 725-732
    CrossrefPubMedSearch in Google Scholar
  • 19 Alves OL, Bullock R. Excitotoxic damage in traumatic brain injury. In: Clark RS, Kochanek P, eds. Brain Injury. Boston: Kluwer Academic Publishers 2001: 1
  • 20 Cassidy JD, Carroll LJ, Peloso PM. et al; WHO Collaborating Centre Task Force on Mild Traumatic Brain Injury. Incidence, risk factors and prevention of mild traumatic brain injury: results of the WHO Collaborating Centre Task Force on Mild Traumatic Brain Injury. J Rehabil Med 2004; 36 (43) (Suppl) 28-60
    CrossrefPubMedSearch in Google Scholar
  • 21 Sankar G, Jaya K. The psychological problems and existentialist view of the great two Americans Ernest Hemingway and F Scot Fitzgerald: a glimpses. Arts Soc Sci J 2016; 7: 165
    PubMedSearch in Google Scholar
  • 22 Archer T. Physical exercise and its impact on psychology. Clin Exp Psychol. 2016; 2: e104
    CrossrefPubMedSearch in Google Scholar
  • 23 Sankar G. The cognitive insight and Jungian philosophy after the post-colonial era in American writer Ernest Hemingway. Arts Soc Sci J 2016; 7: 156
    PubMedSearch in Google Scholar
  • 24 Moscote-Salazar LR, Satyarthee GD. Moving forward: the role of neuromonitoring in pediatric traumatic brain injury and targeted therapy. Clin Pediatr. 2016; 1: 103
    CrossrefPubMedSearch in Google Scholar
  • 25 Zink BJ. Traumatic brain injury outcome: concepts for emergency care. Ann Emerg Med 2001; 37 (03) 318-332
    CrossrefPubMedSearch in Google Scholar
  • 26 Moscote-Salazar LR, Satyarthee GD. A sensible approach to pediatric mild traumatic brain injury: new roads and new vistas. Clin Pediatr. 2016; 1: 104
    CrossrefPubMedSearch in Google Scholar
  • 27 Atcherson SR, Mina Steele CL. Auditory processing deficits following sport-related or motor vehicle accident injuries. Brain Disord Ther 2016; 5: 204
    CrossrefPubMedSearch in Google Scholar
  • 28 Wiseman-Hakes C. A profile of sleep architecture and sleep disorders in adults with chronic traumatic brain injury. J Sleep Disord Ther 2015; 5: 224
    CrossrefPubMedSearch in Google Scholar
  • 29 Olivera A. Combination treatment of natural compounds and integrative therapies for mild traumatic brain injury. Brain Disord Ther 2015; 4: 198
    CrossrefPubMedSearch in Google Scholar
  • 30 Owsley C, Stalvey BT, Phillips JM. The efficacy of an educational intervention in promoting self-regulation among high-risk older drivers. Accid Anal Prev 2003; 35 (03) 393-400
    CrossrefPubMedSearch in Google Scholar
  • 31 Bilban M. Road traffic accidents caused by elderly drivers. Coll Antropol 1997; 21 (02) 573-583
    PubMedSearch in Google Scholar
  • 32 Reported Road Casualties Great Britain. Department for Transport, Annual Report: 2014. Available at: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/463350/rrcgb2014-00.pdf Accessed December 20, 2019.
    PubMed
  • 33 National Highway Traffic Safety Administration. Traffic Safety Facts 2016: Young Drivers. Washington, DC: U.S. Department of Transportation; 2018. Available at: https://crashstats.nhtsa.dot.gov/Api/Public/ViewPublication/812498External. Accessed July 24, 2018
    PubMed
  • 34 Bigbee J. Papez circuit. In: Kreutzer JS, DeLuca J, Caplan B. eds. Encyclopedia of Clinical Neuropsychology. New York: Springer 2011
  • 35 Nishio Y, Hashimoto M, Ishii K, Mori E. Neuroanatomy of a neurobehavioral disturbance in the left anterior thalamic infarction. J Neurol Neurosurg Psychiatry 2011; 82 (11) 1195-1200
    CrossrefPubMedSearch in Google Scholar
  • 36 Beglinger LJ, Haut MW, Parsons MW. The role of the mammillary bodies in memory: a case of amnesia following bilateral resection. Eur J Psychiatry 2006; 20 (02) 88-95
    CrossrefPubMedSearch in Google Scholar
  • 37 Franklin Institute. The human brain. Resources for Science Learning Available at: www.fi.edu/learn/brain/stress.html. Accessed December 18, 2019
    PubMed
  • 38 Chung S, Wang X, Fieremans E. et al. Altered relationship between working memory and brain microstructure after mild traumatic brain injury. AJNR Am J Neuroradiol 2019; 40 (09) 1438-1444
    PubMedSearch in Google Scholar
  • 39 Kim JS, Kim OL, Seo WS, Koo BH, Joo Y, Bai DS. Memory dysfunctions after mild and moderate traumatic brain injury: comparison between patients with and without frontal lobe injury. J Korean Neurosurg Soc 2009; 46 (05) 459-467
    CrossrefPubMedSearch in Google Scholar
  • 40 Gennarelli TA. Mechanisms of brain injury. J Emerg Med 1993; 11 (1, Suppl 1) 5-11
    PubMedSearch in Google Scholar