PMC8515403_01
MRI of the Brain Post-TBI. Note. Axial T2 FLAIR without contrast two days post-TBI.
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MRI of the brain showed bifrontal hemorrhagic contusions, a contusion within the right anterior temporal lobe, and scattered subarachnoid, intraventricular, and parenchymal based blood products (Fig. 1).
Neuropsychological test performance. Note: Standard scores are reported for each test (mean of 100, standard deviation of 15), significance was defined as a change score of greater than or equal to 1 standard deviation and no post-ATL to post-TBI comparisons were significantly different. ATL - Anterior temporal lobectomy; TBI - Traumatic brain injury; SRT, Selective Reminding Test; LTS, Long Term Storage; CLTR, Consistent Long-Term Retrieval; BNT, Boston Naming Test; JLO, Judgment of Line Orientation; RH, right hand; LH, left hand.
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TBI demonstrated excellent recovery and remarkable stability (i.e., no standard score changes greater than one standard deviation) relative to his 8-month post-ATL cognitive test scores (see Table 1 and Fig. 2). Although weaknesses were observed on measures of wordlist learning and memory and picture naming, these scores were unchanged compared to his 8-month post-ATL evaluation. Therefore, he was released to return to work part-time with oversight, with a plan to gradually increase his hours and responsibilities as tolerated.