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Chapter 6 - The Inpatient with Traumatic Brain Injury

Published online by Cambridge University Press:  05 March 2020

Michael I. Casher
Affiliation:
University of Michigan
Joshua D. Bess
Affiliation:
University of Michigan
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Summary

In recent years inpatient psychiatrists have become increasingly adept at recognizing and treating patients with neuropsychiatric sequelae of traumatic brain injury (TBI) [1–8]. In addition to the commonly seen TBI-related cognitive impairment, which is not the focus of this chapter, many post-TBI patients display atypical forms of mood and anxiety disorders, or present with personality alterations and/or signs of behavioral dysregulation. Less frequently, long-term effects of TBI include various forms of psychosis, including delusions with persecutory content, and visual or auditory hallucinations. Expertise in recognition and management of TBI is made even more crucial by the increasing incidence of brain injuries in society, with US emergency departments treating 444 new TBI cases per year per 100 000 people, and with worldwide average estimate of 295 new cases per 100 000 persons. Peak incidence for TBI in the USA occurs between the ages of 15 and 24 years old.

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Publisher: Cambridge University Press
Print publication year: 2020

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