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轻度创伤性脑损伤与脑震荡:术语与分类

Mild traumatic brain injury and concussion: terminology and classification.

作者信息

Sussman Eric S, Pendharkar Arjun V, Ho Allen L, Ghajar Jamshid

机构信息

Department of Neurosurgery, Stanford University School of Medicine, Palo Alto, CA, United States.

Department of Neurosurgery, Stanford University School of Medicine, Palo Alto, CA, United States.

出版信息

Handb Clin Neurol. 2018;158:21-24. doi: 10.1016/B978-0-444-63954-7.00003-3.

Abstract

Traumatic brain injury (TBI) is a major cause of morbidity and mortality throughout the world. Mild TBI, which is typically defined by Glasgow Coma Scale score ≥13, accounts for the vast majority of all TBIs, particularly in the setting of sports-related injuries. The terms concussion and TBI are often used interchangeably, both in the medical literature and in clinical care of this patient population. However, the lack of clearly defined definitions of these terms often leads to confusion, and this confusion may lead to delayed diagnosis and inconsistent management of affected patients. Here, we review the current terminology and classification of mild TBI and concussion. We will also discuss recent efforts to stratify these injuries into clinically relevant subtypes or profiles that are both diagnostic- and treatment-targeted.

摘要

创伤性脑损伤(TBI)是全球发病和死亡的主要原因。轻度TBI通常由格拉斯哥昏迷量表评分≥13定义,占所有TBI的绝大多数,尤其是在与运动相关的损伤情况下。在医学文献和该患者群体的临床护理中,“脑震荡”和“TBI”这两个术语经常互换使用。然而,这些术语缺乏明确的定义常常导致混淆,而这种混淆可能导致受影响患者的诊断延迟和管理不一致。在此,我们回顾了轻度TBI和脑震荡的当前术语和分类。我们还将讨论最近将这些损伤分层为具有临床相关性的亚型或特征的努力,这些亚型或特征既针对诊断也针对治疗。

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