The DOI matches its Crossref record; 1 of the 1 references it cites were found in a registry or an index.
Serial MRI and neurobehavioural findings after mild to moderate closed head injury.
Open accessAbstract
Fifty patients who sustained mild to moderate closed head injury (CHI) underwent a CT scan, MRI, and neurobehavioural testing. At baseline 40 patients had intracranial hyperintensities detected by MRI which predominated in the frontal and temporal regions, whereas 10 patients had lesions detected by CT. Neurobehavioural data obtained during the first admission to hospital disclosed no distinctive pattern in subgroups of patients characterised by lesions confined to the frontal, temporal, or frontotemporal regions, whereas all three groups exhibited pervasive deficits in relation to normal control subjects. The size of extraparenchymal lesion was significantly related to the initial Glasgow Coma Scale score, whereas this relation was not present in parenchymal lesions. One and three month follow up MRI findings showed substantial resolution of lesion while neuropsychological data reflected impressive recovery. The follow up data disclosed a trend from pervasive deficits to more specific impairments which were inconsistently related to the site of brain lesion. These results corroborate and extend previous findings, indicating that intracranial lesions detected by MRI are present in most patients hospitalised after mild to moderate CHI. Individual differences in the relation between site of lesion and the pattern of neuropsychological findings, which persist over one to three months after mild to moderate CHI, remain unexplained.
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“Longer periods of unconsciousness are linked to more severe head injuries and neurological deficits [63,64,65,66].”
From Head Injury and Amyotrophic Lateral Sclerosis: Population-Based Study from the National ALS Registry (2025) · cites this paper as [64]
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“It has been established that loss of consciousness and time spent unconscious following a head injury are indicative of the severity of a head injury and neurological damage [63,64,65,66].”
From Head Injury and Amyotrophic Lateral Sclerosis: Population-Based Study from the National ALS Registry (2025) · cites this paper as [64]
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Citations
Cites
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Cited by
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Neuroimaging after mild traumatic brain injury: review and meta-analysis
Eierud, C., Craddock, R. C., Fletcher, S., Aulakh, M., King-Casas, B., Kuehl, D., & LaConte, S. M. (2014) · NeuroImage: Clinical · doi:10.1016/j.nicl.2013.12.009 · Cited by 524
Executive dysfunction following traumatic brain injury: Neural substrates and treatment strategies
McDonald, B. C., Flashman, L. A., & Saykin, A. J. (2002) · NeuroRehabilitation · doi:10.3233/nre-2002-17407 · Cited by 302
Effect of growth hormone replacement therapy on cognition after traumatic brain injury
High, W. M., Briones-Galang, M., Clark, J. A., Gilkison, C., Mossberg, K. A., Zgaljardic, D. J., Masel, B. E., & Urban, R. J. (2010) · Journal of Neurotrauma · doi:10.1089/neu.2009.1253 · Cited by 176
Self-citationDiffuse axonal injuries: Pathophysiology and imaging
Hammoud, D. A., & Wasserman, B. A. (2002) · Neuroimaging Clinics of North America · doi:10.1016/s1052-5149(02)00011-4 · Cited by 132
Prevalence of abnormal CT-scans following mild head injury
Grant L. Iverson, M. R. L. (2000) · Brain Injury · doi:10.1080/02699050050203559 · Cited by 112
Metadata
- Authors
- Levin, H. S., Williams, D. H., Eisenberg, H. M., High, W. M., & Guinto, F. C.
- Affiliations
- The University of Texas Medical Branch at Galveston (US)
- Venue
- Journal of Neurology, Neurosurgery & Psychiatry
- Publisher
- BMJ
- Published
- 1992-04-01
- Volume
- 55
- Issue
- 4
- Pages
- 255-262
- ISSN
- 0022-3050 (ISSN-L)
- PMC
- PMC489036
- OpenAlex
- W2127966351
- Cited by
- 245
- References
- 1
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 4 · 2023: 2 · 2022: 3 · 2021: 5 · 2020: 4 · 2019: 3 · 2018: 1 · 2017: 2 · 2016: 7 · 2015: 7 · 2014: 7 · 2013: 4 · 2012: 13
- FWCI
- 4.51
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Neurology Neurosurgery & Psychiatry (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- Funders
- National Institute of Neurological Disorders and Stroke (R01NS021889)
- Topics
- Health Sciences › Medicine › Clinical Neurology › Traumatic Brain Injury Research
- Health Sciences › Medicine › Clinical Neurology › Traumatic Brain Injury and Neurovascular Disturbances
- Physical Sciences › Engineering › Biomedical Engineering › Automotive and Human Injury Biomechanics
- Keywords
- mild traumatic brain injury, closed head injury, serial MRI, neurobehavioral deficits, Glasgow Coma Scale, lesion resolution, neuropsychological recovery
- MeSH terms
- Adult, Brain Damage, Chronic, Brain Mapping, Cerebral Cortex, Corpus Callosum, Female, Follow-Up Studies, Humans, Magnetic Resonance Imaging, Male, Neuropsychological Tests, Mental Recall, Retention, Psychology, Tomography, X-Ray Computed, Glasgow Coma Scale, Head Injuries, Closed, Neurocognitive Disorders
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