Wessely P
Zentralbl Neurochir. 1979;40(1):51-8.
After a brief outline of autonomic incidence of posttraumatic early fits as compared to "real" posttraumatic epilepsy, such traumatologic and neurologic factors are compared that lead much more frequently to early fits. Furthermore, the conditions of early fits and their relation to the occurrence of chronic posttraumatic epilepsy are investigated. Statistically and prognostically reliable data are only found when combined groups of high risk factors of different valence rather than individual data are considered. Such a statistically proved combination is the connection of intracranial hematomas, posttraumatic amnesia of more than 3 hours, neurologic dysfunctions and a persisting organic psychosyndrome.
在简要概述创伤后早期发作与“真正的”创伤后癫痫的自主发病率之后,对更频繁导致早期发作的创伤学和神经学因素进行了比较。此外,还研究了早期发作的情况及其与慢性创伤后癫痫发生的关系。只有在考虑不同效价的高风险因素组合而非个体数据时,才能找到统计学上和预后上可靠的数据。这样一个经统计学证明的组合是颅内血肿、超过3小时的创伤后遗忘、神经功能障碍和持续的器质性精神综合征之间的联系。