Neurobehavioral sequelae of moderate traumatic brain injury


  • Jijo Joseph Joseph Department of Neurosurgery, Government Medical College, Thiruvananthapuram, Kerala, India
  • Prasanth Asher Department of Neurosurgery, Government Medical College, Thiruvananthapuram, Kerala, India
  • Varun Singh Pendro Department of Neurosurgery, Government Medical College, Thiruvananthapuram, Kerala, India
  • Anilkumar Peethambaran Department of Neurosurgery, Government Medical College, Thiruvananthapuram, Kerala, India
  • Rajmohan Bhanu Prabhakar Department of Neurosurgery, Government Medical College, Thiruvananthapuram, Kerala, India



TBI, Neurobehavioural sequelae, Moderate TBI, Neuro rehabilitation


Background: The goal of providing neurobehavioural rehabilitation of traumatic brain injury (TBI) survivors still remains largely unachieved, as the problem is still neglected. This study analysed the change in behavioural sequelae in TBI patients over a period of twelve months, so that appropriate measures may be taken for their adequate rehabilitation.

Methods: All patients admitted with moderate TBI, aged between 15 and 60 years, during the study period of one year, or until the sample size (n=118) was reached, were included in the study. The initial details regarding the mechanism of injury and the initial Glasgow coma scale (GCS), number of days in intensive care unit (ICU), and so on were recorded. At follow up periods of six months and one year, the neuro behavioral rating scale was used in the review clinic to assess the change in neuro behavioral status. Data was analyzed using SPSS.

Results: Out of the 118 subjects included in the study, there was statistically significant improvement in inattention, disorientation, expressive deficit, memory deficit, inaccurate insight, depressive mood, hallucinatory behaviour, unusual thought content, comprehension deficit, speech articulation defect, and so on. There was worsening of anxiety, guilt, tension, etc. There was no much change in somatic concern, hostility and so on.

Conclusions: In view of significant worsening of behavioural components, this study has highlighted the need for individualized regimens for overall rehabilitation of the victims, thereby lessening burden on the patient, family and society.

Author Biography

Jijo Joseph Joseph, Department of Neurosurgery, Government Medical College, Thiruvananthapuram, Kerala, India

Department of neurosurgery


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Original Research Articles