School of Psychology, Washington Singer Laboratories, Exeter University, Exeter, UK.
J Neurol Neurosurg Psychiatry. 2010 Oct;81(10):1116-22. doi: 10.1136/jnnp.2008.171298. Epub 2010 Aug 27.
Symptoms of mild traumatic brain injury typically resolve within days or weeks. However, a significant group of patients may report symptoms of Post-concussional Syndrome (PCS) weeks, months and years postinjury. This review presents an overview of the pathogenesis, diagnosis and treatment options for PCS. The authors review the evidence for factors that may predict such symptoms. At early phases, there are associations between neurological signs and symptoms, neurocognitive functions and self reports. Over time, such associations become less coherent, and psychological issues become particularly relevant. An accurate understanding of neurological and psychosocial factors at play in PCS is crucial for appropriate management of symptoms at various points postinjury.
轻度创伤性脑损伤的症状通常会在数天或数周内消失。然而,相当一部分患者可能会在受伤后数周、数月甚至数年报告脑震荡后综合征(PCS)的症状。本文综述了 PCS 的发病机制、诊断和治疗选择。作者回顾了可能预测这些症状的因素的证据。在早期阶段,神经体征和症状、神经认知功能和自我报告之间存在关联。随着时间的推移,这些关联变得不那么一致,心理问题变得尤为重要。准确了解 PCS 中发挥作用的神经和社会心理因素对于在受伤后各个阶段管理症状至关重要。