Vol. 7 nº 3 - Jul/Aug/Set de 2013
Original Article Páginas: 269 a 277

BPSD following traumatic brain injury

Authors Renato Anghinah1; Fabio Rios Freire1; Fernanda Coelho1; Juliana Rhein Lacerda1; Magali Taino Schmidt1; Vanessa Tomé Gonçalves Calado1; Jéssica Natuline Ianof1; Sergio Machado2; Bruna Velasques3; Pedro Ribeiro4; Luis Fernando Hindi Basile5; Wellingson Silva Paiva6; Robson Luis Amorim6


keywords: TBI, traumatic brain injury, BPSD, treatment.

Annually, 700,000 people are hospitalized with brain injury acquired after traumatic brain injury (TBI) in Brazil.
OBJECTIVE: We aim to review the basic concepts related to TBI, and the most common Behavioral and Psychological Symptoms of Dementia (BPSD) findings in moderate and severe TBI survivors. We also discussed our strategies used to manage such patients in the post-acute period.
METHODS: Fifteen TBI outpatients followed at the Center for Cognitive Rehabilitation Post-TBI of the Clinicas Hospital of the University of São Paulo were submitted to a neurological, neuropsychological, speech and occupational therapy evaluation, including the Mini-Mental State Examination. Rehabilitation strategies will then be developed, together with the interdisciplinary team, for each patient individually. Where necessary, the pharmacological approach will be adopted.
RESULTS: Our study will discuss options of pharmacologic treatment choices for cognitive, behavioral, or affective disorders following TBI, providing relevant information related to a structured cognitive rehabilitation service and certainly will offer an alternative for patients and families afflicted by TBI.
CONCLUSION: Traumatic brain injury can cause a variety of potentially disabling psychiatric symptoms and syndromes. Combined behavioral and pharmacological strategies, in the treatment of a set of highly challenging behavioral problems, appears to be essential for good patient recovery.


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