PERSISTENCE OF POSTCONCUSSIONAL SYMPTOMS IN UNCOMPLICATED, MILDLY HEAD-INJURED PATIENTS - A PROSPECTIVE COHORT STUDY

被引:0
作者
BOHNEN, N
TWIJNSTRA, A
JOLLES, J
机构
[1] UNIV LIMBURG,DEPT NEUROPSYCHOL & PSYCHOBIOL,6200 MD MAASTRICHT,NETHERLANDS
[2] UNIV LIMBURG HOSP,DEPT NEUROL,MAASTRICHT,NETHERLANDS
来源
NEUROPSYCHIATRY NEUROPSYCHOLOGY AND BEHAVIORAL NEUROLOGY | 1993年 / 6卷 / 03期
关键词
MHI; POSTCONCUSSIONAL SYMPTOMS; STROOP COLOR WORD TEST; LIGHT; SOUND;
D O I
暂无
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We report the follow-up of 41 nonhospitalized subjects with uncomplicated mild head injury (MHI) and no premorbid compromising condition. At 3 months after the trauma 22 patients still complained of at least 1 postconcussional symptom (PCS) and 10 patients had 3 or more PCS. At 6 months 12 patients complained of at least 1 PCS, whereas 9 patients still had 3 symptoms or more. Patients with persistent PCS complained more of emotional symptoms. Results obtained with objective tests indicated that this group was characterized by a decreased performance on the Stroop Color Word Interference Test and a reduced tolerance to light and sound stimuli in comparison with patients with only few or no PCS. Persistent neurobehavioral deficits were correlated with scores on a postconcussive/cognitive rating scale, but not with scores on an emotional/vegetative scale. Although most patients may substantially recover after MHI, about 1 in 4 patients may persist with a residue of neurobehavioral deficits. Patients with persistent PCS should be evaluated in a multidiagnostic and objective way in order to gain a better understanding of the nature and origin of the subjective symptoms.
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页码:193 / 200
页数:8
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