Loss of smell in patients with traumatic brain injury is associated with neuropsychiatric behavioral alterations.
Brain Inj
; 35(11): 1418-1424, 2021 09 19.
Article
em En
| MEDLINE
| ID: mdl-34495793
ABSTRACT
OBJECTIVE:
We sought to identify and correlate the severity of traumatic brain injuries (TBIs) associated with olfactory dysfunction with cognitive and behavioral profiles. PARTICIPANTS ANDSETTING:
Patients with TBI undergoing treatment in a specialized neuro-rehabilitation hospital.DESIGN:
Prospective study. MAINMEASURES:
Glasgow Coma Scale (GCS) at the time of injury and during posttraumatic amnesia. Motor functions were assessed with the Functional Instrument Measure and Disability Rating Scales. The Wechsler Adult Intelligence test was used for neuropsychologic assessment and the Neuropsychiatric Inventory was used to assess behavioral changes. The Barcelona Smell Test-24 was used to study subjective smell loss.RESULTS:
A total of 111 patients with TBI were enrolled (33 females; mean age 32.86 years); 38.73% exhibited smell loss. Patients with no olfactory impairment (OI) had worse TBIs than those with OI (GCS scores 5.65 and 7.74, respectively); no significant differences in cognitive behaviors, such as attention memory, visuoperception, and visuoconstruction, were observed. However, patients with TBI and olfactory dysfunction showed statistically significant alterations in neuropsychiatric behavioral performances such as feeding when compared with patients with TBI without smell loss.CONCLUSION:
Olfactory dysfunction in patients with a TBI correlates with altered neuropsychiatric behavioral performances such as feeding, sleeping, and motor behavior.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Lesões Encefálicas Traumáticas
/
Anosmia
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article