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Cat. II · Screening, Assessment, Eval & Dx3 min read
Cognitive CommunicationReceptive & Expressive Language

Traumatic Brain Injury & Cognitive-Communication

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TBI Classification

SeverityGCS ScoreLOCPTA
Mild13 to 15<30 minutes<24 hours
Moderate9 to 1230 min to 24 hours1 to 7 days
Severe3 to 8>24 hours>7 days

Types of Injury

  • Focal: Localized damage (contusion, hemorrhage) → specific deficits based on location
  • Diffuse Axonal Injury (DAI): Widespread shearing of axons → attention, processing speed, executive function deficits
  • Coup-contrecoup: Damage at impact site (coup) AND opposite side (contrecoup)
  • Most common TBI damage sites: Frontal and temporal lobes (due to skull anatomy)

The rest of this outline 5

  1. Cognitive-Communication Deficits
  2. Rancho Los Amigos Levels of Cognitive Functioning
  3. Assessment
  4. Treatment Approaches
  5. Sources to Know

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