Incidence of epilepsy and cognitive impairment following traumatic brain injury: a hospital based cross-sectional study

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dc.contributor.authorReballi, Rajasekharen_US
dc.contributor.authorKasimahanti, Siva Prasaden_US
dc.date.accessioned2019-11-16T07:20:13Z
dc.date.available2019-11-16T07:20:13Z
dc.date.issued2014-07
dc.description.abstractBackground: Traumatic Brain Injury (TBI) is a risk factor for epilepsy. Several studies have been conducted to estimate the incidence of epilepsy after TBI. Similarly cognitive impairment is a common consequence of TBI and a substantial source of disability. Aims: To study the incidence of epilepsy and cognitive impairment following TBI and correlate the findings with radiological abnormalities. Method: The study was conducted on 50 consecutive patients with TBI based on the assessment of clinical history for epilepsy and MMSE for cognitive impairment. Results: The incidence of epilepsy after TBI was found to be 40% in our study. It was increased to 50% among the individuals with radiological abnormality on CT scan brain following TBI. Cognitive impairment was found to be highest in individuals with frontal lobe injury (mean MMSE score – 24.13) followed by temporal lobe injury (mean MMSE score – 25.25) and parietal lobe injury (mean MMSE score 26.28). Individuals with no radiologically detectable injury had least cognitive impairment (mean MMSE score - 27.97) Moreover, cognitive impairment was more in individuals with higher number of days in hospital and greater psychological distress. Conclusion: Severity of TBI and presence of radiological abnormality influence new onset epilepsy after TBI. Similarly, injury to frontal lobe and higher number of days in hospital influence cognitive impairment after TBI.en_US
dc.identifier.affiliationsConsultant Psychiatrist, Nizamabad, Hyderabad; Indiaen_US
dc.identifier.affiliationsI/c Professor of Psychiatry, Institute of Mental Health, Department of Psychiatry, Osmania Medical College; Hyderabad; Indiaen_US
dc.identifier.citationReballi Rajasekhar, Kasimahanti Siva Prasad. Incidence of epilepsy and cognitive impairment following traumatic brain injury: a hospital based cross-sectional study. Andhra Pradesh Journal of Psychological Medicine. 2014 Jul-Dec; 15(2): 240-244en_US
dc.identifier.issn2249-5851
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/183927
dc.languageenen_US
dc.publisherIndian Psychiatric Societyen_US
dc.relation.issuenumber2en_US
dc.relation.volume15en_US
dc.subjectTraumatic Brain Injuryen_US
dc.subjectEpilepsyen_US
dc.subjectCognitive Impairmenten_US
dc.subjectRadiological Findingsen_US
dc.titleIncidence of epilepsy and cognitive impairment following traumatic brain injury: a hospital based cross-sectional studyen_US
dc.typeJournal Articleen_US
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