Psychosocial and neuropsychological outcomes in two high-functioning males 20 years after traumatic brain injury

Abstract

Researchers have emphasized a need for ongoing rehabilitation and support for individuals with traumatic brain injury (TBI), yet there are few detailed descriptions of long-term outcome, and many people with long-standing TBI do not or cannot access support services. HB and NL, two men who sustained severe TBI, presented for neuropsychological consultation for the first time more than 20 years post-injury. Referral was prompted by significant mood and relationship disturbances, and ongoing mnemonic and cognitive symptoms. Structural imaging showed a very large lesion involving the orbitofrontal and dorsolateral regions of NLs left frontal lobe, while HB had a smaller lesion involving cortica..