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Chapter 8 - Cognitive Rehabilitation of Traumatic Brain Injury and Post-traumatic Epilepsy

Published online by Cambridge University Press:  10 August 2021

Marco Mula
Affiliation:
St George's Hospital Medical School, University of London
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Summary

Individuals with TBI are vulnerable to a range of cognitive impairments that can interact with psychological comorbidities to lead to chronic challenges with social and occupational functioning in the community. Epilepsy is similarly associated with cognitive difficulties that can be further undermined by the medical, psychological, and psychosocial sequelae of the illness. Although there are limited empirical studies specifically examining cognition in PTE to date, emerging evidence suggests that the development of seizures after TBI may result in a “double hit” to cognitive functioning. This chapter outlines the cognitive sequelae of TBI and epilepsy, and presents a model of cognitive impairment in PTE. It reviews the scant literature on the cognitive consequences of PTE, highlighting current gaps in the literature. Finally, it describes an approach to cognitive rehabilitation in PTE, based on the well-established principles in TBI adapted to accommodate the unique challenges of PTE.

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Publisher: Cambridge University Press
Print publication year: 2021

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