Dual diagnosis: Traumatic brain injury with spinal cord injury

Research output: Contribution to journalReview articlepeer-review

21 Scopus citations


Spinal cord injury (SCI) patients should be assessed for a co-occurring traumatic brain injury (TBI) on admission to a rehabilitation program. Incidence of a dual diagnosis may approach 60% with certain risk factors. Diagnosis of mild-moderate severity TBIs may be missed during acute care hospitalizations of SCI. Neuropsychological symptoms of a missed TBI diagnosis may be perceived during rehabilitation as noncompliance, inability to learn, maladaptive reactions to SCI, and poor motivation. There are life-threatening and quality-of-life-threatening complications of TBI that also may be missed if a dual diagnosis is not made.

Original languageEnglish (US)
Pages (from-to)681-696
Number of pages16
JournalPhysical Medicine and Rehabilitation Clinics of North America
Issue number3
StatePublished - Aug 2014


  • Complications
  • Diagnosis
  • Dual diagnosis
  • Prognosis
  • Rehabilitation
  • Spinal cord trauma
  • Traumatic brain injury

ASJC Scopus subject areas

  • Rehabilitation
  • Physical Therapy, Sports Therapy and Rehabilitation


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