Association of neurological and psychological characters in patients with frontal craneoencephalic traumatism

Authors

  • Alfredo Ramón Amado Donéstevez de Mendaro Hospital Clínico Quirúrgico “Arnaldo Milián Castror”, Villa Clara
  • Oscar Cañizares Luna Universidad de Ciencias Médicas de Villa Clara
  • Lucia del Carmen Alba Pérez Universidad de Ciencias Médicas de Villa Clara
  • Milagros Alegret Rodríguez Centro Provincial de Higiene y Epidemiología, Villa Clara

Keywords:

craniocerebral trauma, neurological characters, psychological characters, association

Abstract

Introduction: frontal craneoencephalic traumatism is the leading cause of death and disability in patients under 50 years of age; the dimensional, dynamic and dialectic relationships between Neurosurgery and Psychology demonstrate the scientific value of considering integrally to human being as a biopsychosocial unit. Objective: to identify associations among the neurological characteristics of light and moderate frontal craneoencephalic trauma and the psychological state. Methods: a descriptive cross-sectional epidemiological clinical study was carried out with a sample of 42 patients of a total of 150 with light and moderate frontal craneoencephalic trauma who were attended at the Neurosurgery Service of "Arnaldo Milán Castro" Hospital of the Province of Villa Clara during the period between January 2011 and December 2015. Results: the joint analysis of the neurological and psychological variables in the studied sample showed the association between them and frontal lobe lesions with particularities according to the affectation of consciousness, the affected hemisphere and the location of the lesion. Conclusions: through the variables studied, it was confirmed the presence of different levels of psychological and neurological alterations combined in the same patient; which makes them in relevant elements to keep in mind in the neuropsychological evaluation of patients in their diagnosis and in the orientation of their integral rehabilitation.

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Author Biographies

Alfredo Ramón Amado Donéstevez de Mendaro, Hospital Clínico Quirúrgico “Arnaldo Milián Castror”, Villa Clara

Especialista de II Grado en Neurocirugía. Máster en Psicología de la Salud. Doctor en Ciencias Médicas. Profesor Titular y Consultante de la Universidad de Ciencias Médicas de Villa Clara. Investigador Titurar.

Oscar Cañizares Luna, Universidad de Ciencias Médicas de Villa Clara

Especialista de II Grado en Anatomía Humana. Máster en Educación Médica y en Educación Avanzada. Doctor en Ciencias Médicas. Profesor Titular e Investigador Titular de la Universidad de Ciencias Médicas de Villa Clara.

Lucia del Carmen Alba Pérez, Universidad de Ciencias Médicas de Villa Clara

Licenciada en Psicología. Especialista de II en Psicología de la Salud. Doctora en Ciencias Psicológicas. Profesora Titular y Consultante de la Universidad de Ciencias Médicas de Villa Clara.

Milagros Alegret Rodríguez, Centro Provincial de Higiene y Epidemiología, Villa Clara

Licenciada en Química. Especialista de I y II Grado en Bioestadística. Máster en Bioquímica. Doctora en Ciencias de la Salud. Profesora Titular y Consultante e Investigadora Agregada de la Universidad de Ciencias Médicas de Villa Clara.

References

1. Leibson CL, Brown AW, Ransom JE, Diehl N, Perkins PK, Mandrekar J, et al. Incidence of traumatic brain injury across the full disease spectrum: a population based medical record review study. Epidemiology. 2011 Nov;22(6):836-44. Doi: 10.1097/EDE.0b013e318231d535.

2. Theadom A, Barker- Collo S, Feigin VL, Starkey NJ, Jones K, Jones J, et al. The spectrum captured a methodological approach to studying incidence and outcomes of traumatic brain injury on a population level. Neuroepidemiology. 2012 Dic;38(1):18-29. Doi: 10.1159/000334746.

3. Daroff RB, Femchel GM, Jakovic J. Trauma of the nervous system: craniocerebral trauma. In: Bradley’s neurology in clinical practice. 6th ed. San Francisco: Elsevier. 2012. p. 942-956.

4. Corrigan JD, Hammond FM. Traumatic brain injury as a chronic health. Condition. Arch Phys Med Rehabil. 2013 Jun;94:1199-201. Doi: 10.1016/j.apmr.2013.01.023.

5. Ahman S, Saveman BI, Styrke J, Björnstig U, Stålnacke BM. Long-term follow-up of patients with mild traumatic brain injury: a mixed-method study. J Rehabil Med. 2013;45(8):758-64. Doi: 10.2340/16501977-1182.

6. Donéstevez de Mendaro AA. Traumatismo craneoencefálico. Disfunción cognitiva. Acta Méd Centro [Internet]. 2011[citado 15 Oct 2017]; 6(1): [aprox. 8 p]. Disponible en: http://www.revactamedicacentro.sld.cu/index.php/amc/article/view/636

7. Donéstevez AA, Blanco González R, Nepomuceno Padilla NL, Camacho García L. Trauma craneoencefálico frontal y su evaluación neuropsicológica. Rev Medicentro Electrón [Internet]. 2011 [citado 15 Oct 2017];5(1):[aprox. 5p.]. Disponible en: http://www.medicentro.sld.cu/index.php/medicentro/article/view/74

8. Leon-Carrion J, Leon-Dominguez U, Pollonini L, Wu MH, Frye RE, Dominguez-Morales MR, et al. Synchronization between the anterior and posterior cortex determines consciousness level in patients with traumatic brain injury (TBI). Brain Res. 2012 Oct;1476:22-30. Doi: 10.1016/j.brainres.2012.03.055.

9. Thompson HJ, Dikmen S, Temkin N. Prevalence of comorbidity and its association with traumatic brain injury and outcomes in older adults. Res Gerontol Nurs. 2012 Ene;5(1):17-24. Doi: 10.3928/19404921-20111206-02.

10. Leitgeb J, Mauritz W, Brazinova A, Majdan M, Janciak I, Wilbacher I, et al. Glasgow Coma Scale score at intensive care unit discharge predicts the 1-year outcome of patients with severe traumatic brain injury. Eur J Trauma Emerg Surg. 2013 Jun;39(3):285-92. Doi: 10.1007/s00068-013-0269-3.

11. Leopold A, Krueger F, del Monte O, Pardini M, Pulaski SJ, Solomon J, et al. Damage to the left ventromedial prefrontal cortex impacts affective theory of mind. Soc Cong Affect Neurosci. 2012 Nov;7(8):871-80. Doi: 10.1093/scan/nsr071.

12. Ramos-Zúñiga R, González-de la Torre M, Jiménez-Maldonado M, Villaseñor-Cabrera T, Bañuelos-Acosta R, Aguirre-Portillo L, et al. Postconcussion syndrome and mill head injury: the role of early diagnosis using neuropsychological test and functional Magnetic Resonance-Spectroscopy. World Neurosurg. 2014 Nov;82(5):828-35. Doi: 10.1016/j.wneu.2013.09.018. /j.wneu.2013.09.

13. Fraga Maia H, Dourado I, Fernández R C, Werneck GL. Factores asociados a la incapacidad funcional global luego de transcurrido un año despues del traumatismo craneoencefalico. Salud Colect [Internet]. 2013 Dic [citado 18 Oct 2017];9(3):335-52. Disponible en: http://www.scielo.org.ar/scielo.php?script=sci_arttext&pid=S1851-82652013000300005

14. Rostami E, Davidsson J, Ng KC, Lu J, Gyorgy A, Walker J, et al. A model for mild traumatic brain injury that induces limited transient memory impairment and increased levels of axon related serum biomarkers. Front Neurol. 2012 Jul;3:115. Doi: 10.3389/fneur.2012.00115.

15. Kristiansson H, Nissborg E, Bartek JJr, Andresen M, Reinstrup P, Rommer B. Measuring elevated intracranial pressure through noninvasive methods: a review of the literature. J Neurosurg Anesthesiol. 2013 Oct ;25(4): 372-85. Doi: 10.1097/ANA.0b013e31829795ce.

16. Su SH, Wang F, Hai J, Liu NT, Yu F, Wu YF, et al. The effects of intracranial pressure monitoring in patients with traumatic brain injury. PloS One. 2014 Feb;9(2). Doi: https://doi.org/10.1371/journal.pone.0087432

17. Lee SY, Kim SS, Kim CH, Park SW, Park JH, Yeo M. Prediction of outcome after traumatic brain injury using clinical and neuroimaging variable. J Clin Neurol. 2012 Sep;8(3): 224-9. Doi: 10.3988/jcn.2012.8.3.224.

18. Pavawalla SP, Schmitter-Edgecombe M, Smith RE. Prospective memory after moderate to severe traumatic brain injury: a multinomial modeling approach. Neuropsychology. 2012 Ene;26(1): 91-101. Doi: 10.1037/a0025866.

19. Løvstad M, Funderud I, Endestad T, Due-Tønnessen P, Meling TR, Lindgran M, et al. Executive function after orbital or lateral prefrontal lesions: Neuropsychological profiles and self – reported executive functions in everyday living. Brain Inj. 2012; 26(13-14):1586-1598. Doi: 10.3109/02699052.2012.698787.

20. Brasure M, Lamberty GJ, Sayer NA, Nelson NW, Macdonald R , Ouellette J, et all. Participation after multidisciplinary rehabilitation for moderate to severe traumatic brain injury in adults. Arch Phys Med Rehabil. 2013 Jul;94(7):1421-3. Doi: 10.1016/j.apmr.2012.12.019.

21. Téllez Varga J. Depresión y trauma craneoencefálico. Avances en Psiquiatría Biológica. 2005; 6:86-100.

22. Gould KR, Ponsford JL, Spitz G. Assosiation between cognitive impairments and anxiety disorders following traumatic brain injury. J Clin Exp Neuropsychol. 2014;36(1):1-14. Doi: 10.1080/13803395.2013.863832.

23. Stuss DT. Functions of the frontal lobes: relation to executive functions. J Int Neuropsychol Soc. 2011 Sep;17(5):759-65. Doi: 10.1017/S1355617711000695.

24. Mendes Sambalundo A, Herrera Jiménez LF, Angulo Gallo L, Guerra Morales V. Exploración neuropsicologica y manifestaciones de ansiedad y depresión en pacientes con trauma craneoencefálico en Huambo, 2012. Rev Hosp Psiquiátr La Habana [Internet]. 2015 [citado 18 Oct 2017];12(2):[aprox. 10p.]. Disponible en: http://www.revistahph.sld.cu/2015/Nro%202/exploracion%20neuropsicologica.html

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Published

2018-03-31

How to Cite

1.
Amado Donéstevez de Mendaro AR, Cañizares Luna O, Alba Pérez L del C, Alegret Rodríguez M. Association of neurological and psychological characters in patients with frontal craneoencephalic traumatism. Acta Méd Centro [Internet]. 2018 Mar. 31 [cited 2025 Jul. 1];12(2):111-8. Available from: https://revactamedicacentro.sld.cu/index.php/amc/article/view/828

Issue

Vol. 12 No. 2 (2018): April-June

Section

Original Articles

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