He was taken to the Hospital ER and released after 3 hours. Prior history reveals left-sided hemiparesis, since birth, as a result of cerebral palsy. He graduated from high school but had problems with attention and concentration which persist. Since the accident he reports problems with memory. He has attended college but presently works part-time in pizza delivery.
Cognitive functions are mildly impaired and strongly lateralized to the right hemisphere.
No significant problems with emotional adjustment. Patient suffered a minimal to very-mild TBI with recovery expected within 1 to 2 months. Present level of function appears to be at or near his premorbid level. She experienced no coma or PTA and did not seek medical treatment for 2 weeks. She sought treatment at that time for impaired memory and concentration, headaches and dizziness, and loss of energy.