Paniak C, MacDonald J, Toller-Lobe G, Durand A, Nagy J
Psychology Service, Glenrose Rehabilitation Hospital, Edmonton, AB, Canada.
J Clin Exp Neuropsychol. 1998 Dec;20(6):852-5. doi: 10.1076/jcen.20.6.852.1108.
This study investigated how mild traumatic brain injury (MTBI) diagnostic and related variables present in a large, nonreferred MTBI sample. Participants were 119 adults with MTBI, drawn from consecutive admissions to two hospital emergency wards. Within 3 weeks of injury, they were asked how the 1993 American Congress of Rehabilitation Medicine MTBI diagnostic criteria and related phenomena presented in their particular cases. Results showed that retrograde amnesia was not reported or was generally very brief; retrograde amnesia was not reported unless posttraumatic amnesia was also reported; and the median ratio of posttraumatic amnesia to retrograde amnesia duration, when both were reported, was 300:1. These and other data provide a preliminary normative profile of such MTBI phenomena, and can help with differential diagnosis of MTBI in individual cases.
本研究调查了在一个大型非转诊性轻度创伤性脑损伤(MTBI)样本中MTBI的诊断及相关变量是如何呈现的。参与者为119名患有MTBI的成年人,他们来自两家医院急诊科的连续入院患者。在受伤后3周内,他们被问及1993年美国康复医学大会MTBI诊断标准及相关现象在其具体病例中是如何呈现的。结果显示,未报告逆行性遗忘或其通常非常短暂;除非也报告了创伤后遗忘,否则不会报告逆行性遗忘;当两者都被报告时,创伤后遗忘与逆行性遗忘持续时间的中位数之比为300:1。这些数据及其他数据为此类MTBI现象提供了初步的规范性概况,并有助于个别病例中MTBI的鉴别诊断。