Comprehensive Clinical Picture of Patients with Complicated vs Uncomplicated Mild Traumatic Brain Injury

Comprehensive Clinical Picture of Patients with Complicated vs Uncomplicated Mild Traumatic Brain Injury
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复杂性与非复杂性轻度创伤性脑损伤患者的综合临床表现

DOI:
10.1080/13854046.2010.506199
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发表时间:
2010
期刊:
The Clinical Neuropsychologist
影响因子:
--
通讯作者:
M. Feyz
M. Feyz
中科院分区:
--
文献类型:
--
作者:
É. de Guise;J. Lepage;S. Tinawi;J. LeBlanc;Jehane Dagher;J. Lamoureux;M. Feyz

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为了比较无并发症与有并发症的轻度TBI(MTBI)患者的急性临床特征,收集了176例诊断为MTBI且脑成像有(并发症,N = 45)或无(无并发症,N = 131)阳性结果的患者的社会人口统计学和病史变量。于伤后2周进行神经系统检查、神经心理学评估和脑震荡后症状自评。复杂型MTBI患者更容易出现听觉和前庭系统功能障碍。令人惊讶的是,无并发症组报告的脑震荡后症状比CT扫描阳性的患者更严重。两组在神经、心理或认知结果方面没有其他差异。MTBI患者应立即进行完整的神经系统检查,以确定需要进行的更具体的随访。
To compare the acute clinical profile of patients with uncomplicated vs complicated mild TBI (MTBI), socio-demographic and medical history variables were gathered for 176 patients diagnosed with MTBI and with (complicated, N = 45) or without (uncomplicated, N = 131) positive findings on cerebral imaging. Neurological examination, neuropsychological assessment and self-evaluation of post-concussive symptoms were done at 2 weeks post trauma. Patients with complicated MTBI were more likely to show auditory and vestibular system dysfunction. Surprisingly, the uncomplicated group reported more severe post-concussive symptoms than patients with positive CT scans. The groups showed no other difference in neurological, psychological, or cognitive outcome. A complete neurological examination should be done acutely in patients with MTBI to determine more specific follow-up required.
DOI: 10.1089/neu.2000.17.389
发表时间: 2000-05-01
影响因子: 4.2
作者:
Bergsneider, M;Hovda, DA;Becker, DP
通讯作者: Becker, DP
轻度颅脑损伤分类。
DOI: 10.1097/00006123-199009000-00014
发表时间: 1990
期刊: Neurosurgery
影响因子: 4.8
作者:
Williams,DH;Levin,HS;Eisenberg,HM
通讯作者: Eisenberg,HM