Hallucinations and TBI

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We normally do not associate auditory hallucinations with brain injury and individuals who present these problems can pose clinical and behavioral management issues. There is an excellent article in the Journal of Neuropsychiatry and Clinical Neurosciences, 17:2, Spring 2005, page 243, by Bronagh Stewart, MD and D.M. Brennan, MD which describes this phenomena following a right temporal gyri resection. The authors provide excellent summary information regarding the wide variance of emotional, intellectual and behavioral problems which can occur following an injury. They offer that the mean period from injury to the emergence of psychiatric problems is approximately four years. As individuals with psychiatric difficulties following a brain injury can pose significant management problems, this article contains much useful and relevant information and an excellent single case study of an individual who experienced command hallucinations.

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