Abstract
Cognitive and adaptive behavioural outcome were studied in the identified survivors of a population based study of non-traumatic coma (NTC) in childhood. Children were assessed early (six weeks) and late (12 months) after NTC. At least 7% of those children in whom no suspicions of prior neurodevelopmental morbidity existed showed moderate or severe disability following NTC. Children over 2 years of age at insult showed some improvement between early and late assessments; however, children below 2 years showed no improvement. Differing age at insult effects were observed between aetiological groups. A relation between early age at first insult and poor outcome was particularly evident among children experiencing NTC caused by epilepsy.
Full Text
The Full Text of this article is available as a PDF (145.3 KB).
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Dennis M., Hendrick E. B., Hoffman H. J., Humphreys R. P. Language of hydrocephalic children and adolescents. J Clin Exp Neuropsychol. 1987 Oct;9(5):593–621. doi: 10.1080/01688638708410771. [DOI] [PubMed] [Google Scholar]
- Hall K., Cope D. N., Rappaport M. Glasgow Outcome Scale and Disability Rating Scale: comparative usefulness in following recovery in traumatic head injury. Arch Phys Med Rehabil. 1985 Jan;66(1):35–37. [PubMed] [Google Scholar]
- Hutchison T. The classification of disability. Arch Dis Child. 1995 Aug;73(2):91–94. doi: 10.1136/adc.73.2.91. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Jennett B., Bond M. Assessment of outcome after severe brain damage. Lancet. 1975 Mar 1;1(7905):480–484. doi: 10.1016/s0140-6736(75)92830-5. [DOI] [PubMed] [Google Scholar]
- Rappaport M., Hall K. M., Hopkins K., Belleza T., Cope D. N. Disability rating scale for severe head trauma: coma to community. Arch Phys Med Rehabil. 1982 Mar;63(3):118–123. [PubMed] [Google Scholar]
- Schneider G. E. Is it really better to have your brain lesion early? A revision of the "Kennard principle". Neuropsychologia. 1979;17(6):557–583. doi: 10.1016/0028-3932(79)90033-2. [DOI] [PubMed] [Google Scholar]
- Taylor H. G., Alden J. Age-related differences in outcomes following childhood brain insults: an introduction and overview. J Int Neuropsychol Soc. 1997 Nov;3(6):555–567. [PubMed] [Google Scholar]
- Webb C., Rose F. D., Johnson D. A., Attree E. A. Age and recovery from brain injury: clinical opinions and experimental evidence. Brain Inj. 1996 Apr;10(4):303–310. doi: 10.1080/026990596124476. [DOI] [PubMed] [Google Scholar]
- Wills K. E., Holmbeck G. N., Dillon K., McLone D. G. Intelligence and achievement in children with myelomeningocele. J Pediatr Psychol. 1990 Apr;15(2):161–176. doi: 10.1093/jpepsy/15.2.161. [DOI] [PubMed] [Google Scholar]