Part 6: Traumatic Brain Injury: Rehabilitation Neurology
Questions 1-3 Refer to the Following Case:
- A 45-year-old former bank executive presents to a
neurologist after being discharged from a subacute
inpatient facility 6 months after he received a severe
closed head injury in a motor vehicle accident. He is
able to ambulate independently but continues to have
residual difficulties with functional use of his right
hand, distractibility, disorganization, and poor longterm
memory as well as irritability and anger outbursts.
The patientís anger outbursts are occasionally violent
and can seem unprovoked, but they tend to be triggered
by episodes where others point out information
that he was told but cannot remember.
The patientís primary care physician is asked to fill out disability paperwork that includes documentation of evidence of the diagnosis. S he asks for the neurologistís input on explaining how the patientís magnetic resonance imaging (MRI ) findings, described simply as showing no focal strokes or contusions, may be related to the diagnosis of traumatic brain injury (TBI). W hen reviewing the patientís current MRI images, which of the following findings is most likely to be related to the diagnosis of TBI?
Updated 12/03/2014 • jdw | Copyright ©2014 Turner White Communications