Neurological, Neurophysiological Syndromes and Cognitive Disorders in Brain-Injured Patients: Epidemiology, Diagnosis, and Therapeutic Advances

  • W. Gobiet


Following severe head injury (SHT) cerebral function in spite of consciousness, motoric and cognitive ability cannot be restored without special measures. Vigorous treatment are required to achieve the best outcome for the patient. In order to make full use of the remaining functional capacity of the brain the process of rehabilitation must begin in the acute phase of treatment and continue without a break in the rehabilitation center. The complexity and the interrelated nature of the various lesions necessitate a comprehensive and well thought out plan of management comprising therapeutic, diagnostic, and social elements. Such a concept in turn requires a specially equipped and staffed hospital, and in this way neurotraumatological rehabilitation has developed into an independent discipline [3, 7].


Rehabilitation Center Severe Head Injury Cognitive Disorder Early Rehabilitation Head Injury Patient 
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  1. 1.
    Arbeitsgemeinschaft Neurologische/Neurochirurgische Frührehabiliation (1993) Empfehlungen. Bonn, Bad Godeshohe, Eigenverlag, Neurologisches Rehabilitationszentrum. Phase II. Heft 8.Google Scholar
  2. 2.
    Ahmed I (1988) Use of somatosensory evoked responses in the prediction of outcome from coma. Clin Electroencephalogr 2: 78–86.Google Scholar
  3. 3.
    Becker DP, Miller JD, Ward JD et al. (1977) The outcome from severe head injury with early diagnosis and intensive management. J Neurosurg 47: 491–502.PubMedCrossRefGoogle Scholar
  4. 4.
    Brooks N, McKinlay W, Symington C et al. (1987) Return to work within the first seven years of severe head injury. Brain Inj 1: 5–19.PubMedCrossRefGoogle Scholar
  5. 5.
    Caplan ES, Hoyt N (1981) Infection surveillance an control in the severely traumatized patient. Am J Med 70: 638–640.PubMedCrossRefGoogle Scholar
  6. 6.
    Carlsson C-A, von Essen C, Lorfgren J (1968) Factors affecting the clinic course of patients with severe head injuries. J Neurosurg 29: 242–251.PubMedCrossRefGoogle Scholar
  7. 7.
    Gobiet W (1990) Frührehabilitation nach Schádel-Hirn-Trauma. Springer, Berlin, Heidelberg New York.CrossRefGoogle Scholar
  8. 8.
    Hollyday PO, Kelly DL, Ball M (1982) Normal computed tomograms in acute head injury: correlation of intracranial pressure, ventricular size and outcome. Neurosugery 10(1): 25–28.CrossRefGoogle Scholar
  9. 9.
    Johnson DA, Roethig-Johnston K, Richards D (1993) Biochemical and physiological parameters of recovery in acute severe head injury: responses to multisensory stimulation. Brain Inj. 7(6): 491–499.PubMedCrossRefGoogle Scholar
  10. 10.
    Pierce JP, Lyle DM, Quine S et al. (1990) The effectiveness of coma arousal intervention. Brain Inj 4:191–197.PubMedCrossRefGoogle Scholar
  11. 11.
    Rader MA, Alston JB, Ellis DW (1989) Sensory stimulation of severely brain-injured patients. Brain Inj 3:141–147.PubMedCrossRefGoogle Scholar
  12. 12.
    Rappaport M, Leonard J, Portillo SR (1993) Somatosensory evoked potential peak latencies and amplitudes in contralateral and ipsilateral hemispheres in normal and severely traumatized brain-injured subjects. Brain Inj 7(1): 3–13.PubMedCrossRefGoogle Scholar
  13. 13.
    Schalén W, Hansson L, Nordström G, Nordström C-H (1994) Psychosocial outcome 5–8 years after severe traumatic brain lesions and the impact of rehabilitation services. Brain Inj 8(1): 49–64.PubMedCrossRefGoogle Scholar
  14. 14.
    Spivack G, Spettell CM, Ellis DW, Ross SE (1992) Effects of intensity of treatment and length of stay on rehabilitation outcomes Brain Inj 6(5): 419–434.Google Scholar

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© Springer-Verlag Berlin Heidelberg 1997

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  • W. Gobiet

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