Trastorno orgánico de personalidad: un diagnóstico desestimado en pacientes traumatizados de cráneo

Introduction: Organic Personality Disorder (OPD) post traumatic brain injury (TBI) is often dismissed due to lack of clear brain damage and alteration in usual psychometrics (WAIS). Objective: An exploratory study of 9 cases of post TBI OPD. Patients and methods: We analyzed 9 previously undiagnosed cases of post TBI OPD. Results: The patients had no neuroimaging abnormalities (TAC), but some altered psychometric tests, and consistent and dramatic changes in their cognitions, behaviors and emotions, but were not diagnosed with OPD. Discussion: medical teams seem to consider more the indemnity of neuroimaging than clinical evidence or neuropsychological testing, and tend to dismiss the diagnosis of TOP. Conclusion: The diagnosis of TOP should be considered in cases of mild TBI when they suggest the clinic.