Recovery from visual and acoustic hyperaesthesia after mild head injury in relation to patterns of behavioural dysfunction.

Recovery from visual and acoustic hyperaesthesia after mild head injury in relation to patterns of behavioural dysfunction.
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轻度头部损伤后视觉和听觉感觉过敏的恢复与行为功能障碍模式相关。

DOI:
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发表时间:
1992
影响因子:
11
通讯作者:
J. Jolles
J. Jolles
中科院分区:
医学1区
文献类型:
--
作者:
N. Bohnen;A. Twijnstra;G. Wijnen;J. Jolles

文献摘要

被引文献

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头部受伤的病人经常抱怨忍受强烈的光和声音刺激的能力下降。少数客观研究这种类型的过度感觉的心理物理学研究没有评估轻度头部损伤(MHI)后患者从这种过度感觉恢复到何种程度。采用计算机评定技术评估无并发症MHI患者对强声(95 dB)和光(1500 lux)刺激的耐受性。患者在受伤后10天和5周进行了测试。虽然大多数患者从视觉和听觉上都恢复了,但25%的患者在5周后仍然不能忍受强烈的刺激。对两种行为评定量表(一种是脑震荡后/认知主诉,另一种是情绪/植物性主诉)数据的分析表明,视觉过敏与脑震荡后/认知主诉量表特别相关。
Patients with head injuries frequently complain of a decreased ability to endure intense light and sound stimuli. The few psychophysical studies that have objectively studied this type of hyperaesthesia have not assessed to what extent patients recover from this hyperaesthesia after mild head injury (MHI). A computerised rating technique was used to assess tolerance to intense sound (95 dB) and light (1500 lux) stimuli in patients with an uncomplicated MHI. Patients were tested 10 days and five weeks after the injury. Although most patients substantially recovered from both visual and acoustic hyperaesthesia, 25% of the patients were still not able to endure intense stimuli by five weeks. Analysis of data obtained with two behavioural rating scales (one with post-concussive/cognitive complaints and a second with emotional/vegetative complaints) indicated that visual hyperaesthesia was specifically related to the post-concussive/cognitive complaints scale.