Belanger Heather G, Vanderploeg Rodney D, Curtiss Glenn, Warden Deborah L
James A. Haley Veterans Hospital, 13000 Bruce B. Downs Boulevard., Tampa, FL 33612, USA.
J Neuropsychiatry Clin Neurosci. 2007 Winter;19(1):5-20. doi: 10.1176/jnp.2007.19.1.5.
Mild traumatic brain injury (TBI) is characterized by acute physiological changes that result in at least some acute cognitive difficulties and typically resolve by 3 months postinjury. Because the majority of mild TBI patients have normal structural magnetic resonance imaging (MRI)/computed tomography (CT) scans, there is increasing attention directed at finding objective physiological correlates of persistent cognitive and neuropsychiatric symptoms through experimental neuroimaging techniques. The authors review studies utilizing these techniques in patients with mild TBI; these techniques may provide more sensitive assessment of structural and functional abnormalities following mild TBI. Particular promise is evident with fMRI, PET, and SPECT scanning, as demonstrated by associations between brain activation and clinical outcomes.
轻度创伤性脑损伤(TBI)的特点是急性生理变化,这会导致至少一些急性认知困难,且通常在受伤后3个月内恢复。由于大多数轻度TBI患者的结构磁共振成像(MRI)/计算机断层扫描(CT)扫描结果正常,因此越来越多的注意力集中在通过实验性神经成像技术寻找持续性认知和神经精神症状的客观生理相关性上。作者回顾了在轻度TBI患者中使用这些技术的研究;这些技术可能会为轻度TBI后的结构和功能异常提供更敏感的评估。功能磁共振成像(fMRI)、正电子发射断层扫描(PET)和单光子发射计算机断层扫描(SPECT)扫描显示出特别的前景,脑激活与临床结果之间的关联证明了这一点。