Hanisch L
Facharzt für Neurologie und Psychiatrie, Grosser Burstah 53, 20457, Hamburg, Deutschland.
Orthopade. 2010 Mar;39(3):299-302. doi: 10.1007/s00132-009-1547-y.
Cognitive disturbances are frequent complaints in patients following whiplash injury and form the basis of attempts to claim that minimal brain damage has been caused, even in the absence of clinical or imaging evidence to support these claims. Pain and cognitive deficits are the most commonly feigned medical complaints. However, the boundary between aggravation and/or malingering is generally not easy to identify. Relevant indications include discrepancies between the reported symptoms and the findings identified in the immediate post-trauma phase.
认知障碍是挥鞭样损伤患者常见的主诉,也是即便缺乏临床或影像学证据支持,仍有人试图宣称造成了轻微脑损伤的依据。疼痛和认知缺陷是最常被伪装的医疗主诉。然而,病情加重和/或诈病之间的界限通常不易区分。相关指征包括所报告症状与创伤后即刻检查结果之间的差异。