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Advanced Neurology Cognition in children with mild TBI

Figure 2. Eligibility and exclusion criteria for the monocentric cohort study

Table 2. Clinical and demographic characteristics of the 15
children who were admitted for mTBI mild‑to‑moderate TBI
Characteristics n=15
Age at the time of TBI, years, median (IQR) 9 (5.5 – 14)
Sex, n
Males 11
Females 4
Mechanism of injury, n
High speed (motor vehicle accident/bicycle collision) 10
Fall from a height 4
Head struck by a heavy object (unintentional) 1
Figure 3. Neuroradiological findings obtained at the time of diagnosis (T0) Impact site, n
Occipital 2
Overall, results obtained at T2 were borderline or Temporal 2
2
Frontal
slightly below the expected level. However, a comparison Multiple 4
of the T2 data with reference values (one-sample t-test) Unknown 4
demonstrated significantly lower scores in the memory and GCS at time of first evaluation, median (IQR) 14 (12–15)
learning domain, sensorimotor functions (finger tapping), Symptoms, n
social perception (affect recognition), and visuospatial Loss of consciousness 7
abilities (design copying) (Table 4). Headache 5
Vomiting 5
3.2.4. Cognitive assessment Post-traumatic amnesia 5
Drowsiness 5
Twelve children were assessed using the WISC-IV scale at Altered neurological examination, n 4
T1 and T2. However, two children were evaluated using
the WPPSI-III according to age. The FSIQ results of the Admission, n 10
General pediatric ward
children were not significantly different between T1 and ICU 3
T2 (106.1 ± 6.9 vs. 103.5 ± 10.7; P = 0.25) (Figure 4). Emergency department (short-stay observation unit) 2
Furthermore, the T2 results were not significantly Abbreviations: TBI: Traumatic brain injury; IQR: Interquartile range;
different compared with the reference values (one-sample GCS: Glasgow coma scale; ICU: Intensive care unit.
t-test; P = 0.5).
T1 (Table 5). The median t-scores for total (P = 0.898),
3.2.5. Emotional and behavioral assessment internalizing (P = 0.156), and externalizing (P = 0.953)
The CBCL data for children aged 6 – 18 years were behavioral issues were not significantly different between
obtained from the parents of eight children at T0 and T0 and T1.

Volume 3 Issue 4 (2024) 14 doi: 10.36922/an.3886