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Artigos Científicos

sexta-feira, 09 março 2018 12:11

Stimulant Use in the Management of Mild Traumatic Brain Injury: A Qualitative Literature Review

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Mary Alexis Iaccarino1,2,3, Lisa Liang Philpotts3Ross Zafonte1,2,3,4 Joseph Biederman1,3

1
Harvard Medical School, Boston, MA, USA
2
Spaulding Rehabilitation Hospital, Boston, MA, USA
3
Massachusetts General Hospital, Boston, USA
4
Brigham and Women’s Hospital, Boston, MA, USA

Journal of Attention Disorders: SAGE Journals

March 9, 2018


ABSTRACT:

Objective: Mild traumatic brain injury (mTBI) often presents with cognitive complaints including difficulty with attention and concentration. As these symptoms resemble those of ADHD, stimulants may be a potential treatment for mTBI. This review evaluates the literature on the use of stimulants for the treatment of mTBI.

Method: A systematic evaluation of the literature using six databases: Ovidmedline, Pubmed, psychINFO, CINAH, Embase, and Cochrane. Broad search terms were used and studies were included that evaluate the use of stimulant and stimulant-like medications in the mTBI population. Data extracted included stimulant type and dosing, symptoms targeted, outcomes, safety and tolerability, and if the study population had ADHD.

Results: Nine studies were identified that met the inclusion criteria. Immediate release methylphenidate and amantadine were used for treatment. Methylphenidate had some impact on attention, fatigue, and depression. However, due to the limited number of studies and heterogeneity of study populations, symptoms targeted, and outcome measures used, meaningful conclusions regarding the effect of stimulants in mTBI could not be made. No study evaluated for the presence of ADHD within the study population, despite stimulants being the mainstay treatment for ADHD.

Conclusion: PProspective studies on the use of stimulants in mTBI, that evaluate participants for a diagnosis of ADHD, are needed.


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