Functional anatomy of neuropsychological deficits after severe traumatic brain injury

Fontaine, Anne Marie; Azouvi, Philippe; Rémy, Philippe; Bussel, B.; Samson, Yves

doi:10.1212/wnl.53.9.1963

Cited by 131 publications

(66 citation statements)

References 34 publications

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“…For example, Spinella cited evidence that 20% of individuals who initially abstained from alcohol or who were light drinkers progressed to high consumption levels after their injury. Fontaine et al (1999) reported similar findings that 15% of TBI patients developed alcohol dependence problems within 2 years of their brain injury. Although these changes could be due to psychosocial stressors resulting from a TBI, they may, in part, be directly due to TBI-related frontal lobe dysfunction and resultant changes in Disinhibition and Reward Sensitivity 6 emotional regulation and impulse control (Spinella, 2003).…”

supporting

confidence: 57%

Disinhibition and reward sensitivity in relation to alcohol consumption by university undergraduates

Lyvers¹,

Czerczyk²,

Follent³

et al. 2009

Addiction Research & Theory

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supporting

confidence: 57%

Disinhibition and reward sensitivity in relation to alcohol consumption by university undergraduates

Lyvers¹,

Czerczyk²,

Follent³

et al. 2009

Addiction Research & Theory

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“…Sherer et al (2005) indicated that it may be more likely that broadly distributed networks may be disrupted to cause impairments in self-awareness, than any specific lesion location. Because DAI in TBI is associated with frontal, prefrontal, and cingulate hypoperfusion and damage to the subcortical areas (Boone et al, 1999;Fontaine et al, 1999), it would seem likely that frontal networks, including their subcortical projections, are involved in self-awareness. The recent f MRI study by Schmitz et al (2006) provides support for this, indicating that the medial pre-frontal and retrosplenial cortical regions play a primary role in self-referential evaluative processes and that activation of the right anterior dorsolateral prefrontal cortex was associated with reduced accuracy on the PCRS.…”

Section: Discussionmentioning

confidence: 99%

Awareness of deficits in traumatic brain injury: A multidimensional approach to assessing metacognitive knowledge and online-awareness

O’Keeffe

Dockree²,

Moloney³

et al. 2006

J. Inter. Neuropsych. Soc.

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Recent models of impaired awareness in brain injury draw a distinction between metacognitive knowledge of difficulties and online awareness of errors (emergent and anticipatory). We examined performance of 31 Traumatic Brain Injury (TBI) participants and 31 healthy controls using a three-strand approach to assessing awareness. Metacognitive knowledge was assessed with an awareness interview and discrepancy scores on three questionnaires-Patient Competency Rating Scale, Frontal Systems Behavioral Scale and the Cognitive Failures Questionnaire. Online Emergent Awareness was assessed using an online error-monitoring task while participants performed tasks of sustained attention. Online anticipatory awareness was examined using prediction performance on two cognitive tasks. Results indicated that the TBI Low Self-Awareness (SA) group and High SA group did not differ in terms of severity, chronicity or standard neuropsychological tasks but those with Low SA were more likely to exhibit disinhibition, interpersonal problems and more difficulties in total competency. Sustained attention abilities were associated with both types of online awareness (emergent and anticipatory). There was a strong relationship between online emergent and online anticipatory awareness. Metacognitive knowledge did not correlate with the other two measures. This study highlights the necessity in adopting a multidimensional approach to assessing the multifaceted phenomenon of awareness of deficits. (JINS, 2007, 13, 38-49.)

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“…Overall, although findings remain inconclusive (Critchley et al, 2000a), most evidence appears at least suggestive of right hemispheric primacy in emotion processing (Adolphs et al, 1996(Adolphs et al, , 2002Erhan et al, 1998). The neural structures associated with emotion processing, whether lateralized or distributed bilaterally, may be particularly vulnerable to damage in TBI due to their anatomical location in the frontal and temporal lobes (Fontaine et al, 1999). Most of these structures are situated near the orbital surfaces of the brain, which are directly adjacent to common points of impact and numerous bony protuberances lining the interior of the skull.…”

Section: Neuropsychological Bases Of Emotion Perception Deficits In Tbimentioning

confidence: 99%

Emotion perception deficits following traumatic brain injury: A review of the evidence and rationale for intervention

Bornhofen

McDonald

2008

J Int Neuropsychol Soc

156

102

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While the cognitive disturbances that frequently follow severe traumatic brain injury (TBI) are relatively well understood, the ways in which these affect the psychosocial functioning of people with TBI are yet to be determined and have thus received little attention in treatment research. Growing evidence indicates that a significant proportion of individuals with TBI demonstrate an inability to recognize affective information from the face, voice, bodily movement, and posture. Because accurate interpretation of emotion in others is critical for the successful negotiation of social interactions, effective treatments are necessary. Until recently, however, there have been no rehabilitation efforts in this area. The present review examines the literature on emotion perception deficits in TBI and presents a theoretical rationale for targeted intervention. Several lines of research relevant to the remediation of emotion perception in people with TBI are considered. These include work on emotion perception remediation with other cognitively impaired populations, current neuropsychological models of emotion perception and underlying neural systems, and recent conceptualizations of remediation processes. The article concludes with a discussion of the importance of carrying out efforts to improve emotion perception within a contextualized framework in which the day-to-day relevance of training is clear to all recipients. (JINS, 2008, 14, 511-525.)

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Functional anatomy of neuropsychological deficits after severe traumatic brain injury

Cited by 131 publications

References 34 publications

Disinhibition and reward sensitivity in relation to alcohol consumption by university undergraduates

Disinhibition and reward sensitivity in relation to alcohol consumption by university undergraduates

Awareness of deficits in traumatic brain injury: A multidimensional approach to assessing metacognitive knowledge and online-awareness

Emotion perception deficits following traumatic brain injury: A review of the evidence and rationale for intervention

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