Maksymowicz Krzysztof, Piechocki Dariusz, Drozd Radosław
Katedry i Zakładu Medycyny Sadowej AM we Wrocławiu.
Arch Med Sadowej Kryminol. 2005 Oct-Dec;55(4):296-300.
In this paper an effort has been made to explain and systemize the notions of encephalopathy, psycho organic syndrome, characteropathy, seen as consequences of cranio-cerebral injuries, and regarding neurological, psychiatric and certificating criteria. The main aim of this classification is to define the necessary conditions needed to confirm or exclude the presence of neurological changes mentioned above. The conditions should be acceptable from the neurological, psychiatric and certificating points of view. The certificating experience of the authors shows that there are vast differences among criteria applied by neurologists, psychiatrists and certificating doctors in assessing the consequences of cranio-cerebral injuries. Moreover, in the above paper various injury and disease factors have been presented and discussed. Although they do not remain in any causal connection with the assessed event, they have a significant influence on the final result of the medical certification.
本文致力于阐释和系统化将脑病、精神器质性综合征、性格障碍视为颅脑损伤后果的概念，并涉及神经学、精神病学及认证标准。这一分类的主要目的是界定确认或排除上述神经学变化存在所需的必要条件。从神经学、精神病学及认证角度来看，这些条件应是可接受的。作者的认证经验表明，神经科医生、精神科医生和认证医生在评估颅脑损伤后果时所采用的标准存在巨大差异。此外，上述论文中还呈现并讨论了各种损伤和疾病因素。尽管它们与评估事件不存在任何因果联系，但对医学认证的最终结果有着重大影响。
