The purpose of the study was to examine the hypothesis
that distractibility is a fundamental characteristic of
mild closed head injury (MHI). The claim that cognitive
symptoms in MHI are due to a mild type of frontotemporal
injury was also investigated. Cognitive event-related potentials
(ERPs), accuracy and reaction time to target stimuli in
a dichotic listening paradigm, and neuropsychological test
results were studied in patients with MHI (N =
15), patients with verified frontal lobe damage (N
= 10), and healthy controls (N = 13). Information
processing reflecting target detection (N2, P3b) and sustained
selective attention (processing negativity) was studied.
The MHI and frontal patients did not differ on behavioral
measures, except that the MHI group had significantly longer
reaction times to target stimuli in the ERP task. Both
patient groups had deviant ERPs compared with controls,
but their ERP patterns differed in important respects.
Contrary to expectations, the MHI patients had the most
abnormal ERPs. They showed significantly smaller N2 and
Nd amplitudes than frontal patients and controls, indicating
that the mediating cognitive mechanisms were not equivalent
in MHI and frontal injury. The data suggest that MHI patients
allocated less processing resources to the task than either
the control subjects or the patients with frontal lobe
damage.