The case of an 18-year-old male compensation claimant who demonstrated the phenomenon of secondary regression of cognitive functioning following a severe, blunt head injury at the age of 11 years will be presented. Serial assessments over a 6-year period resulted in a profile so unexpected that the question of malingering was entertained. A CT scan soon after the accident demonstrated a skull fracture with an underlying small extradural haematoma, but no other abnormalities. However an MRI scan 6 years after the accident revealed atrophic change in the left temporal lobe, gliosis/ischaemic change in both frontal lobes, left parietal abnormalities, and mild general dilatation of the ventricular system. The general issue of late trophy and secondary regression of cognitive functioning following blunt head injury will be discussed.
|Number of pages||1|
|Journal||Journal of Clinical and Experimental Neuropsychology|
|Publication status||Published - May 1991|