• Brain injury : [BI] · Dec 2004

    Case Reports

    The therapeutic challenges of dual diagnosis: TBI/SCI.

    • Jacqueline L Sommer and Patti M Witkiewicz.
    • Virginia Commonwealth University Medical Center, North Hospital, 1st Floor, 13th Street, PO Box, 960661, Richmond, Virginia 23298-0661, USA. jsommer@mail2.vcu.edu
    • Brain Inj. 2004 Dec 1; 18 (12): 1297-308.

    AbstractRehabilitation centres provide therapeutic intervention to both patients with traumatic brain injury (TBI) and spinal cord injury (SCI). Patients with a dual diagnosis of TBI and SCI present a challenge to the rehabilitation professional. Previous studies indicate an incidence of concomitant TBI and SCI to be between 24-59%. Many research articles discuss how a diagnosis of TBI is often missed during the medical examination of a person with a suspected SCI. This article will focus on the implications of dual diagnosis encountered during the rehabilitation process. A case study is used to highlight the challenges presented by the cognitive impairments of a TBI in combination with the motoric deficits of SCI. Management strategies utilised by the rehabilitation team are discussed.

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