Abstract
The authors have presented a case of a 14-year-old male who suffered a severe traumatic brain injury. His narrative is derived from follow-up over an interval from 1-week postinjury through 24-year postinjury by virtue of participation in a prospective longitudinal follow-up study. This chapter summarizes his postinjury course from age 14 to 22 years previously published and extends the description of his course to 38 years of age. In contrast to the famous case of Phineas Gage who came to represent the classical poor outcome after traumatic brain injury, we have named him Phineas Re-enGage to emphasize his sustained positive quality of life changes in multiple domains of function that occurred after 11 years of severe postinjury psychiatric, socio-emotional, and occupational dysfunction. The chapter discusses biopsychosocial aspects of outcome of pediatric traumatic brain injury.
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Max JE, Robertson BA, Lansing AE. The phenomenology of personality change due to traumatic brain injury in children and adolescents. J Neuropsychiatr Clin Neurosci. 2001;13(2):161–70.
Orvaschel H, Puig-Antich J, Chambers W, Tabrizi MA, Johnson R. Retrospective assessment of prepubertal major depression with the Kiddie-SADS-e. J Am Acad Child Psychiatry. 1982;21(4):392–7.
Max JE, Robin DA, Lindgren SD, et al. Traumatic brain injury in children and adolescents: psychiatric disorders at two years. J Am Acad Child Adolesc Psychiatry. 1997;36(9):1278–85.
Sheehan DV, Lecrubier Y, Sheehan KH, et al. The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry. 1998;59(Suppl 20):22–33; quiz 34–57.
Max JE, Schachar RJ, Levin HS, et al. Predictors of secondary attention-deficit/hyperactivity disorder in children and adolescents 6 to 24 months after traumatic brain injury. J Am Acad Child Adolesc Psychiatry. 2005;44(10):1041–9.
Demakis GJ. Frontal lobe damage and tests of executive processing: a meta-analysis of the category test, stroop test, and trail-making test. J Clin Exp Neuropsychol. 2004;26(3):441–50.
Demakis GJ. A meta-analytic review of the sensitivity of the Wisconsin Card Sorting Test to frontal and lateralized frontal brain damage. Neuropsychology. 2003;17(2):255–64.
Van Horn JD, Irimia A, Torgerson CM, Chambers MC, Kikinis R, Toga AW. Mapping connectivity damage in the case of Phineas Gage. PLoS One. 2012;7(5):e37454.
Max JE, Castillo CS, Robin DA, et al. Predictors of family functioning after traumatic brain injury in children and adolescents. J Am Acad Child Adolesc Psychiatry. 1998;37(1):83–90.
Taylor HG, Yeates KO, Wade SL, Drotar D, Stancin T, Burant C. Bidirectional child-family influences on outcomes of traumatic brain injury in children. J Int Neuropsychol Soc JINS. 2001;7(6):755–67.
Kavaliers M, Matta R, Choleris E. Mate-choice copying, social information processing, and the roles of oxytocin. Neurosci Biobehav Rev. 2017;72:232–42.
Ornstein TJ, Sagar S, Schachar RJ, et al. Neuropsychological performance of youth with secondary attention-deficit/hyperactivity disorder 6- and 12-months after traumatic brain injury. J Int Neuropsychol Soc JINS. 2014;20(10):971–81.
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Max, J.E., Bigler, E.D., Hesselink, J.R., Wilde, E.A., Abildskov, T., Wade, O. (2019). Phineas Re-enGage: Long-Term Psychiatric Follow-Up of Pediatric Traumatic Brain Injury. In: Hauptman, A., Salpekar, J. (eds) Pediatric Neuropsychiatry. Springer, Cham. https://doi.org/10.1007/978-3-319-94998-7_2
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