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Journal of Neurology, Neurosurgery, and Psychiatry logoLink to Journal of Neurology, Neurosurgery, and Psychiatry
. 1992 May;55(5):362–368. doi: 10.1136/jnnp.55.5.362

Cerebral correlates of disturbed executive function and memory in survivors of severe closed head injury: a SPECT study.

G Goldenberg 1, W Oder 1, J Spatt 1, I Podreka 1
PMCID: PMC489076  PMID: 1602308

Abstract

Thirty six patients in the chronic stage after severe closed head injury were examined with tests of executive function, memory, intelligence, and functional capacities in daily living. Correlations were sought between test results and Tc-99m-HMPAO uptake of frontal, temporal, and thalamic regions assessed by SPECT. Neither the number of significant correlation coefficients between memory tests and regional uptake nor that between temporal uptake and tests exceeded chance. For the remaining tests, correlations to thalamic regions were stronger than those to the frontal regions, and those to right brain regions stronger than those to homologous left brain regions. Relationships of thalamic isotope uptake to neuropsychological performance may reflect the impact of diffuse brain damage and particularly of diffuse axonal injury on mental capacities.

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Selected References

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  1. Adams J. H., Graham D. I., Scott G., Parker L. S., Doyle D. Brain damage in fatal non-missile head injury. J Clin Pathol. 1980 Dec;33(12):1132–1145. doi: 10.1136/jcp.33.12.1132. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Brownell H. H., Michel D., Powelson J., Gardner H. Surprise but not coherence: sensitivity to verbal humor in right-hemisphere patients. Brain Lang. 1983 Jan;18(1):20–27. doi: 10.1016/0093-934x(83)90002-0. [DOI] [PubMed] [Google Scholar]
  3. Cutting J. Study of anosognosia. J Neurol Neurosurg Psychiatry. 1978 Jun;41(6):548–555. doi: 10.1136/jnnp.41.6.548. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Gainotti G. Emotional behavior and hemispheric side of the lesion. Cortex. 1972 Mar;8(1):41–55. doi: 10.1016/s0010-9452(72)80026-1. [DOI] [PubMed] [Google Scholar]
  5. Goldenberg G. Performance of concurrent non-motor tasks in Parkinson's disease. J Neurol. 1990 Jun;237(3):191–196. doi: 10.1007/BF00314593. [DOI] [PubMed] [Google Scholar]
  6. Goldenberg G., Podreka I., Uhl F., Steiner M., Willmes K., Deecke L. Cerebral correlates of imagining colours, faces and a map--I. SPECT of regional cerebral blood flow. Neuropsychologia. 1989;27(11-12):1315–1328. doi: 10.1016/0028-3932(89)90127-9. [DOI] [PubMed] [Google Scholar]
  7. Heilman K. M., Schwartz H. D., Watson R. T. Hypoarousal in patients with the neglect syndrome and emotional indifference. Neurology. 1978 Mar;28(3):229–232. doi: 10.1212/wnl.28.3.229. [DOI] [PubMed] [Google Scholar]
  8. Heiss W. D., Herholz K., Podreka I., Neubauer I., Pietrzyk U. Comparison of [99mTc]HMPAO SPECT with [18F]fluoromethane PET in cerebrovascular disease. J Cereb Blood Flow Metab. 1990 Sep;10(5):687–697. doi: 10.1038/jcbfm.1990.122. [DOI] [PubMed] [Google Scholar]
  9. Jenkins A., Teasdale G., Hadley M. D., Macpherson P., Rowan J. O. Brain lesions detected by magnetic resonance imaging in mild and severe head injuries. Lancet. 1986 Aug 23;2(8504):445–446. doi: 10.1016/s0140-6736(86)92145-8. [DOI] [PubMed] [Google Scholar]
  10. Levin H. S., Amparo E., Eisenberg H. M., Williams D. H., High W. M., Jr, McArdle C. B., Weiner R. L. Magnetic resonance imaging and computerized tomography in relation to the neurobehavioral sequelae of mild and moderate head injuries. J Neurosurg. 1987 May;66(5):706–713. doi: 10.3171/jns.1987.66.5.0706. [DOI] [PubMed] [Google Scholar]
  11. Levin H. S., Williams D., Crofford M. J., High W. M., Jr, Eisenberg H. M., Amparo E. G., Guinto F. C., Jr, Kalisky Z., Handel S. F., Goldman A. M. Relationship of depth of brain lesions to consciousness and outcome after closed head injury. J Neurosurg. 1988 Dec;69(6):861–866. doi: 10.3171/jns.1988.69.6.0861. [DOI] [PubMed] [Google Scholar]
  12. Mattson A. J., Levin H. S. Frontal lobe dysfunction following closed head injury. A review of the literature. J Nerv Ment Dis. 1990 May;178(5):282–291. doi: 10.1097/00005053-199005000-00002. [DOI] [PubMed] [Google Scholar]
  13. McKinlay W. W., Brooks D. N., Bond M. R., Martinage D. P., Marshall M. M. The short-term outcome of severe blunt head injury as reported by relatives of the injured persons. J Neurol Neurosurg Psychiatry. 1981 Jun;44(6):527–533. doi: 10.1136/jnnp.44.6.527. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Metter E. J., Wasterlain C. G., Kuhl D. E., Hanson W. R., Phelps M. E. FDG positron emission computed tomography in a study of aphasia. Ann Neurol. 1981 Aug;10(2):173–183. doi: 10.1002/ana.410100208. [DOI] [PubMed] [Google Scholar]
  15. Ostrove J. M., Simpson T., Gardner H. Beyond scripts: a note on the capacity of right hemisphere-damaged patients to process social and emotional content. Brain Cogn. 1990 Jan;12(1):144–154. doi: 10.1016/0278-2626(90)90010-l. [DOI] [PubMed] [Google Scholar]
  16. Podreka I., Suess E., Goldenberg G., Steiner M., Brücke T., Müller C., Lang W., Neirinckx R. D., Deecke L. Initial experience with technetium-99m HM-PAO brain SPECT. J Nucl Med. 1987 Nov;28(11):1657–1666. [PubMed] [Google Scholar]
  17. Regard M., Strauss E., Knapp P. Children's production on verbal and non-verbal fluency tasks. Percept Mot Skills. 1982 Dec;55(3 Pt 1):839–844. doi: 10.2466/pms.1982.55.3.839. [DOI] [PubMed] [Google Scholar]
  18. STRICH S. J. Diffuse degeneration of the cerebral white matter in severe dementia following head injury. J Neurol Neurosurg Psychiatry. 1956 Aug;19(3):163–185. doi: 10.1136/jnnp.19.3.163. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Shallice T. Specific impairments of planning. Philos Trans R Soc Lond B Biol Sci. 1982 Jun 25;298(1089):199–209. doi: 10.1098/rstb.1982.0082. [DOI] [PubMed] [Google Scholar]
  20. Shoulson I. Huntington disease: functional capacities in patients treated with neuroleptic and antidepressant drugs. Neurology. 1981 Oct;31(10):1333–1335. doi: 10.1212/wnl.31.10.1333. [DOI] [PubMed] [Google Scholar]
  21. Thomsen I. V. Late outcome of very severe blunt head trauma: a 10-15 year second follow-up. J Neurol Neurosurg Psychiatry. 1984 Mar;47(3):260–268. doi: 10.1136/jnnp.47.3.260. [DOI] [PMC free article] [PubMed] [Google Scholar]
  22. Wilson J. T., Wiedmann K. D., Hadley D. M., Condon B., Teasdale G., Brooks D. N. Early and late magnetic resonance imaging and neuropsychological outcome after head injury. J Neurol Neurosurg Psychiatry. 1988 Mar;51(3):391–396. doi: 10.1136/jnnp.51.3.391. [DOI] [PMC free article] [PubMed] [Google Scholar]

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