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Thomas McAllister, MD

Speaker at 2015 NABIS Conference on Brain Injury

Session Title 1: Pre-Conference course: Neuropsychiatry of TBI

Objectives:  
During this course, the attendee will learn about
1. The neuropsychiatric approach to TBI during inpatient rehabilitation, including the use of appropriate assessments.
2. The role of neuropharmacology in managing the neuropsychiatric sequelae during the subacute and chronic phases of recovery.
3. Recognize the expected neuropsychiatric recovery during the first year after mild TBI.
4. Recognize appropriate neuropsychiatric management of the patient with persistent symptoms after concussion.
Summary: Neuropsychiatric disturbances, including cognitive deficits, emotional dysregulation, and behavioral problems, are common and functionally important consequences of traumatic brain injury. Careful evaluation and effective management of these posttraumatic neuropsychiatric disturbances facilitates rehabilitation and reduces barriers to activities and participation. In this workshop, heuristics for the evaluation, management, and further study of posttraumatic neuropsychiatric disturbances will be reviewed. Clinical case definitions of TBI, the clinical features of acute traumatic encephalopathy, and the neuropsychiatric sequelae of mild and moderate-to-severe TBI will be reviewed. Pre-injury, injury-related, and post-injury factors that influence the development and course of neuropsychiatric symptoms after TBI will be considered, and the importance of carefully considering the differential diagnosis of early and late post-injury neuropsychiatric disturbances will be highlighted. The faculty then will offer four lectures focused on the evaluation and management of the early and late neuropsychiatric features of mild TBI and of moderate-to-severe TBI. Finally, directions for future research that may address productively the challenges to TBI rehabilitation and recovery presented by neuropsychiatric disturbances will be addressed through discussion between faculty and participants.

Session Title 2: Case Study - Mild TBI
Objectives: 
1. To understand relevant biologic and psychological factors in the diagnosis and treatment of mild TBI.  
2. To understand the neurobiologic presently mechanisms presently known regarding mild TBI and their relevance to treatment and outcomes.  
3. To discuss different etiologies and types of complicated mild TBI and how this relates to a focused approach to neurodiagnosis and treament.  
Summary:  
A case presentation format will be utilized to discuss mild TBI related to differing etiologies and mechanisms of injury. This will include but not be limited to sports, falls, MVA, and repetitive blast exposure.  An interdisciplinary panel of experts will discuss the important issues of neurodiagnosis, treatment, and followup necessary to achieve optimal outcomes. 

Current Company Affiliation:  Indiana University, School of Medicine, Department of Psychiatry
Speaker Bio:  Thomas W. McAllister, MD, is the Albert Eugene Sterne Professor and Chairman, Indiana University School of Medicine Department of Psychiatry.  He was previously Millennium Professor of Psychiatry and Neurology, Director of the Section of Neuropsychiatry at Dartmouth Medical School, and Vice Chair for Neuroscience Research for the Department of Psychiatry. He is a past president of the American Neuropsychiatric Association. Dr. McAllister received his undergraduate degree from Dartmouth College, and his medical degree from Dartmouth Medical School. He served on the faculties of the University of Kentucky, and the University of Pennsylvania before returning to Dartmouth Medical School in 1990.  

 

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