Abstract Details

Title Mild Traumatic Brain Injury and Neuropsychiatric Sequelae in the Pediatric Population

Topic Neuro Trauma, Critical Care, and Sports Neurology

Presentation(s) P10 - Poster Session 10 (5:30 PM-6:30 PM)

Poster/Presentation
Number 5-001

Objective Examine mild traumatic brain injury (mTBI) in adolescents and its neuropsychiatric sequelae with an emphasis on structural brain changes and long-term consequences

Background TBI is a major public health issue with a high incidence of morbidity and mortality. Head injuries result in approximately 52,000 deaths, 275,000 hospitalizations and 1.4 million emergency department visits each year in the USA. The presentation of mTBI is individualized and highly variable, but the emotional and psychiatric manifestations are significantly under-investigated and poorly understood. Examination and management of these post-injury psychiatric outcomes is crucial to improving long-term outcomes. JS is an adolescent who suffered a concussion during a soccer game and was evaluated six months and one-year post injury with persistent mood-related symptoms including anxiety and depression.

Design/Methods Case report and literature review

Results JS underwent various tests to measure her emotional functioning. On the DSM-5 Cross-Cutting Symptom Measure (CCMS) her highest scores were associated with feeling nervous, anxious, or scared. On the Severity Measure for Generalized Anxiety Disorder (GAD-A) she scored an 18. Finally, she scored in the range of moderate depression on the Severity Measure for Depression (PHQ-A). In addition, literature reviews have revealed studies demonstrating changes in brain volume and connectivity following TBI in patients with persistent neuropsychiatric symptoms.

Conclusions Neuropsychiatric disorders following mTBI are a common complication. The presentation of these symptoms is complex and varies throughout studies and patients, but generally consist of personality changes, sleep disorders, substance abuse and anxiety. Children are at risk for long term consequences including social isolation and personality change, and JS suffered from a variety of these problems. Appropriate measures should be taken to maximize neurocognitive recovery and improve outcomes, especially in adolescents with a long future ahead of them. Examination and understanding of structural brain changes may help with their recovery.

Authors/Disclosures
Maryamnaz Zaribaf, MD PRESENTER	No disclosure on file
Pavan Patel, DO	Dr. Patel has nothing to disclose.
Khaled Abdalla, MD (Winchester neurological consultants)	Dr. Abdalla has nothing to disclose.
	No disclosure on file

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Abstract Details