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Central Nervous System Dysfunction

Brain Injury, Postconcussive Syndrome, and Seizure Disorder

  • Chapter
Handbook of Child Behavior Therapy

Abstract

Central Nervous System (CNS) dysfunction, whether the result of acquired injury, congenital defect, or developmental events, can have significant consequences for a child’s psychosocial functioning and classroom performance. The long-term sequelae of CNS insult may impair performance on many levels, with the severity of a student’s limitations being associated with the severity of the neurological insult. This chapter will focus on three types of CNS dysfunction and their implications for the student, school staff and school psychologist. We will provide the reader with a general understanding of the most common consequences of pediatric traumatic brain injury (TBI), postconcussion syndrome, and seizure disorders. Relevant medical management and rehabilitation issues will be presented across all conditions. Pharmacological issues, especially as they pertain to seizures, will be presented because performance in the classroom may be affected by these medications. Behavioral interventions will receive special emphasis. Indeed, behavioral approaches to address CNS dysfunction have become increasingly important and commonplace (see for example, Dahl, 1992; Dahl, Brorson, & Melin, 1992; Fenwick, 1991; Horton & Miller, 1985; Horton & Sautter, 1986; Kuhn, Allen, & Shriver, 1995; Warzak & Kilburn, 1990).

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Warzak, W.J., Mayfield, J., McAllister, J. (1998). Central Nervous System Dysfunction. In: Watson, T.S., Gresham, F.M. (eds) Handbook of Child Behavior Therapy. Issues in Clinical Child Psychology. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-5323-6_15

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