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Management of Adults With Traumatic Brain Injury

Edited by David B. Arciniegas, M.D., Nathan D. Zasler, M.D., Rodney D. Vanderploeg, Ph.D., and Michael S. Jaffee, M.D.

  • ISBN 978-1-58562-988-6
  • Item #62988


Traumatic brain injury (TBI) is a public health issue of worldwide proportions, affecting motorists, victims of interpersonal violence, athletes, military service members, and Veterans, among others. Management of Adults with Traumatic Brain Injury provides evidence-informed guidance on the core topics in brain injury medicine, including the epidemiology and pathophysiology of TBI, the medical evaluation and neuropsychological assessment of persons with TBI, and the common cognitive, emotional, behavioral, and other neurological disturbances for which persons with TBI and their families seek clinical care.

The volume offers many useful features to its readers, including:

  • Chapters written by an internationally known group of editors and contributors offering cutting-edge, multidisciplinary perspectives in brain injury medicine.
  • Guidance on the identification and management of early and late postinjury neuropsychiatric disturbances as well as their psychological and psychosocial consequences.
  • Identification of special issues relevant to the evaluation and treatment of TBI and postconcussive symptoms among military service members, and Veterans.
  • Discussion of the ethics and methods of forensic assessment of persons with TBI.
  • Key Clinical Points that highlight concepts, assessment issues, and clinical management strategies in each chapter.
  • A wealth of tables and figures to enhance the accessibility and clinical utility of the book, as well as appendices of additional readings and relevant websites for persons and families affected by TBI and the clinicians providing their care.

Impressive breadth and depth of coverage, logical structure, clinically rich detail, and concise presentation make Management of Adults with Traumatic Brain Injury a must-read for every physician, nurse, and mental health practitioner working to improve the lives of persons with TBI.


  • Contributors
  • Preface
  • Acknowledgments
  • Chapter 1. Overview of Traumatic Brain Injury
  • PART II: Assessment
  • Chapter 2. Medical Evaluation
  • Chapter 3. Neuropsychological Assessment
  • Chapter 4. Disorders of Consciousness
  • Chapter 5. Cognitive Impairments
  • Chapter 6. Disorders of Mood and Affect
  • Chapter 7. Anxiety Disorders
  • Chapter 8. Posttraumatic Stress Disorder
  • Chapter 9. Posttraumatic Psychosis
  • Chapter 10. Aggressive Disorders
  • Chapter 11. Apathy
  • Chapter 12. Substance Use Disorders
  • Chapter 13. Headache
  • Chapter 14. Seizures and Epilepsy
  • Chapter 15. Sleep and Fatigue
  • Chapter 16. Posttraumatic Sensory Impairments
  • Chapter 17. Traumatic Brain Injury in Late Life
  • Chapter 18. Athletes and Sports-Related Concussion
  • Chapter 19. Military Personnel and Veterans With Traumatic Brain Injury
  • Chapter 20. Persistent Symptoms After a Concussion
  • Chapter 21. Forensic Issues and Traumatic Brain Injury
  • Appendix A: Suggested Readings
  • Appendix B: Relevant Web Sites
  • Index


    Karen E. Anderson, M.D.
    David B. Arciniegas, M.D.
    Christopher M. Bailey, Ph.D.
    Jeffrey T. Barth, Ph.D.
    Erin D. Bigler, Ph.D.
    Jennifer Bogner, Ph.D.
    David X. Cifu, M.D.
    Douglas B. Cooper, Ph.D.
    Kimberly L. Frey, M.S.
    Lauren Frey, M.D.
    Jesse R. Fann, M.D., M.P.H.
    Joseph T. Giacino, Ph.D.
    Robert P. Granacher Jr., M.D., M.B.A.
    Michael S. Jaffee, M.D.
    Matthew Jakupcak, Ph.D.
    Ricardo E. Jorge, M.D.
    Thomas Kay, Ph.D., R.Psych.
    Jan E. Kennedy, Ph.D.
    William L. Maxwell, Ph.D., Sc.D.
    Thomas W. McAllister, M.D.
    Una McCann, M.D.
    Michael A. McCrea, Ph.D.
    Kimberly Meyer, M.S.N.
    Vani Rao, M.D.
    Ronald G. Riechers II, M.D.
    Robert L. Ruff, M.D., Ph.D.
    Suzanne Ruff, Ph.D.
    Perminder S. Sachdev, M.D., Ph.D.
    Johathan M. Silver, M.D.
    Sandeep Vanishnavi, M.D., Ph.D.
    Rodney D. Vanderploeg, Ph.D.
    Robert van Reekum, M.D.
    Emma van Reekum, B.S.
    Mark F. Walker, M.D.
    William C. Walker, M.D.
    John Whyte, M.D., Ph.D.
    Stuart C. Yudofsky, M.D.
    Nathan D. Zasler, M.D.

About the Authors

David B. Arciniegas, M.D., is the Beth K. and Stuart C. Yudofsky Chair of Brain Injury Medicine, Executive Director of the Beth K. and Stuart C. Yudofsky Division of Neuropsychiatry, and Professor of Psychiatry, Neurology, and Physical Medicine and Rehabilitation, Baylor College of Medicine; Senior Scientist and Medical Director for Brain Injury Research, TIRR Memorial Hermann, Houston, Texas; and President, International Brain Injury Association.

Nathan D. Zasler, M.D., is CEO and Medical Director, Concussion Care Centre of Virginia, Ltd.; CEO and Medical Director, Tree of Life Services, Inc.; Professor (affiliate), VCU Department of Physical Medicine and Rehabilitation, Richmond, Virginia; Associate Professor (adjunct), Department of Physical Medicine and Rehabilitation, University of Virginia, Charlottesville, Virginia; and Chairperson, International Brain Injury Association.

Rodney D. Vanderploeg, Ph.D., is Clinical Neuropsychologist and Psychology Section Leader, Brain Injury Rehabilitation and Neuropsychology, James A. Haley Veterans Hospital, and Professor of Psychology and Psychiatry and Neurosciences, University of South Florida, Tampa, Florida.

Michael S. Jaffee, M.D., is Past National Director, Defense and Veterans Brain Injury Center; Associate Professor of Neurology, Uniformed Services University of the Health Sciences, Bethesda, Maryland; and Adjunct Professor of Neurology and Psychiatry, University of Texas Health Sciences Center, San Antonio, Texas.

Drs. Arciniegas, Zasler, Vanderploeg, and Jaffee have edited an outstanding book on traumatic brain injury for clinicians. The authors of the chapters are internationally recognized experts in brain injury medicine, rehabilitation psychology, neuropsychiatry, and neuroscience. They provide an evidence-based and practical guide for health care professionals. The chapter authors also give excellent clinical advice in the management of the cognitive, emotional, behavioral, and somatic impairments that frequently accompany TBI. This manual is unique in that it is both comprehensive and concise. It is essential reading for health care professionals who manage these persons.—Robert E. Hales, M.D., M.B.A., Joe P. Tupin Endowed Chair, Distinguished Professor of Clinical Psychiatry, UC Davis School of Medicine; Editor-in-Chief, Books, American Psychiatric Publishing

This manual edited by Arciniegas and colleagues represents a contemporary and relatively complete treatment of the cognitive, emotional, behavioral, and sensory motor disorders associated with a spectrum of traumatic brain injuries. The contributing authors provide practical guidance on medical evaluation and neuropsychological assessment, while also discussing the treatment of those cognitive, emotional, behavioral, and other neurological disorders that follow from traumatic injuries to the brain. This clinical manual should be of benefit both to the seasoned practitioner as well as those just beginning their journey into the assessment and treatment of some of the most complex central nervous system disorders known to man.—John T. Povlishock, Ph.D., Professor and Chair, Department of Anatomy and Neurobiology, Director, Commonwealth Center for the Study of Brain Injury, Virginia Commonwealth University

Dr. Arciniegas and his colleagues have created a remarkable contribution to the literature on management of adults with traumatic brain injury. Addressing a wide range of topics from post-traumatic behavioral disturbances and cognitive deficits to head injury in athletes and military personnel, this volume is a virtual encyclopedia of useful information on TBI. As guide for the clinician and researcher, this book provides a comprehensive, accessible, and practical resource.—Jeffrey L. Cummings, M.D., Sc.D., Director, Lou Ruvo Center for Brain Health, Camille and Larry Ruvo Chair for Brain Health, Cleveland Clinic

The text has many very well known, highly regarded authors who have a long history of experience in the brain injury field. This well-referenced, well-organized book covers a broad range of relevant and important topics, and will provide a good foundation of knowledge for less experienced and experienced providers working with persons with brain injury. The book also serves as an important clinical manual which will meet the needs of clinicians working with diverse brain injury populations, and contains many helpful tables and figures which richly illustrate the topics covered. The book provides a rich focus on emotional and behavioral disturbances, and covers important special topics as such concussion injury, forensic issues, and TBI in late life, which have received insufficient attention in the literature.—Jeffrey S. Kreutzer, Ph.D., ABPP, FACRM, Rosa Schwarz Cifu Prof Physical Med Rehab, Prof Neurosurgery Psych, Virginia Commonwealth Univ Med Ctr; Director, Virginia Commonwealth TBI Model System of Care

Management of Adults with TBI is a comprehensive and accessible resource for clinicians and researchers. Step-by step information provided in this book will ensure that the practices of those who are new to the field or have a long history of working with individuals with TBI are up to date and evidence-informed. It also promises to be an invaluable teaching tool for rehabilitation and medical educators.—Lisa A. Brenner, Ph.D., Associate Professor of Psychiatry, Neurology, & Physical Medicine and Rehabilitation, University of Colorado Denver, School of Medicine

Each chapter comprised an excellent entree to the subject, with salient references to classic articles and recent research.—Joseph Westermeyer, MD, MPH, PhD, University of Minnesota Medical School and Minneapolis VA Health Care Center, Minneapolis, 11/11/2014

Overall this text is a rewarding read and will contribute insights into effective care for individuals with a traumatic brain injury.—Ellen M. Deibert, MD, American Academy of Neurology, 11/11/2014

Each chapter comprised an excellent entree to the subject, with salient references to classic articles and recent research.—Brian S. Appleby, MD, American Journal of Psychiatry, 11/11/2014

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