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Case report

The short story of Caroline, 44 years old


Illustration by Eva Kraft, Gothenburg.


- works in an office and has a husband and 2 children
- car accident during a family skiing vacation. The car crashed into a truck on an icy road; mother-in-law died
- unconscious for a few minutes
- no remaining symptoms such as paresis, loss of sensibility, speech disturbance
- difficulties at work after the accident; difficulties to concentrate

“I’m worried”, Caroline says.
“I cannot go on any longer. I have no capacity to work. My brain is drained of energy. What has happened to me? The car accident was nasty, but I survived – I have no remaining physical symptoms.”

Is Caroline depressed? – No.
“I want to do all those things that I did previously, but I’m not able to.”
“My memory does not function.”
“I’m unable to be together with my family and my friends. I’m not able to do things together with my children and not even with my husband, who in fact is the most kind and thoughtful man that I know – I feel so guilty about the whole situation.”
“I cannot stand sound nor strong light – I have changed and I’m different compared to before the accident.”

Caroline suffers from mental fatigue after the skull trauma
Caroline can do everything that she could do before the accident.
She has the same intelligence as she had before, but she is not able to perform over time, neither mentally, nor physically.

The story about Caroline is fictitious, but typical of mental fatigue after TBI

Page Manager: Pontus Sundén|Last update: 9/10/2010

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