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创伤性脑损伤与神经精神并发症

Traumatic Brain Injury and Neuropsychiatric Complications.

作者信息

Ahmed Saeed, Venigalla Hema, Mekala Hema Madhuri, Dar Sara, Hassan Mudasar, Ayub Shahana

机构信息

Department of Psychiatry, Nassau University Medical Center, NY, USA.

Department of Psychiatry, Texas Behavioral Health Clinic, TX, USA.

出版信息

Indian J Psychol Med. 2017 Mar-Apr;39(2):114-121. doi: 10.4103/0253-7176.203129.

DOI:10.4103/0253-7176.203129
PMID:28515545
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5385737/
Abstract

Traumatic brain injury (TBI) occurs when a blow or jolt to the head or a penetrating injury results in damage to the brain. It is the most frequent cause of hospitalization in young people with a higher prevalence in men. TBI is the leading cause of disability and mortality between the ages 1 and 45. TBI can be caused either by the direct result of trauma or due to a complication of the primary injury. The most common etiological factors for TBI are falls, road traffic accidents, violent physical assaults, and injuries associated with athletic activities. Following TBI, significant neurologic complications may occur which include seizures, dementia, Alzheimer's disease, and cranial nerve injuries. In addition, people may suffer from various psychiatric complications such as depression, posttraumatic stress disorder, generalized anxiety disorder, obsessive-compulsive disorder, and other cognitive and behavioral sequel that might significantly increase the comorbidity of the victims. Considering all of the above complications, TBI is one of the significant public health burdens. Literature has shown that only about 25% of people achieve long-term functional independence following TBI. In this paper, we focused not only on the epidemiology but also the etiology, complications following TBI and understanding their underlying pathogenesis. Further, we focused on analyzing the options to improve the treatment and rehabilitation following TBI in future.

摘要

创伤性脑损伤(TBI)是指头部受到撞击或震动,或遭受穿透性损伤而导致脑损伤。它是年轻人住院治疗的最常见原因,男性患病率更高。TBI是1至45岁人群致残和致死的主要原因。TBI可由创伤的直接后果引起,也可由原发性损伤的并发症导致。TBI最常见的病因包括跌倒、道路交通事故、暴力人身攻击以及与体育活动相关的损伤。TBI后可能会出现严重的神经并发症,包括癫痫、痴呆、阿尔茨海默病和颅神经损伤。此外,患者可能会出现各种精神并发症,如抑郁症、创伤后应激障碍、广泛性焦虑障碍、强迫症以及其他可能显著增加患者合并症的认知和行为后遗症。考虑到上述所有并发症,TBI是一项重大的公共卫生负担。文献表明,TBI后只有约25%的人能实现长期功能独立。在本文中,我们不仅关注了TBI的流行病学,还关注了其病因、TBI后的并发症及其潜在发病机制。此外,我们还专注于分析未来改善TBI治疗和康复的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2869/5385737/d42869f79e37/IJPsyM-39-114-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2869/5385737/d42869f79e37/IJPsyM-39-114-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2869/5385737/d42869f79e37/IJPsyM-39-114-g001.jpg

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Am J Psychiatry. 2013 Apr;170(4):383-90. doi: 10.1176/appi.ajp.2012.12010126.
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Inhibition of TRPM3 channels in the medial prefrontal cortex mitigates OCD symptoms following traumatic brain injury.抑制内侧前额叶皮质中的TRPM3通道可减轻创伤性脑损伤后的强迫症症状。
Inflammopharmacology. 2025 May 15. doi: 10.1007/s10787-025-01763-5.
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