Radanov B, Ludin H P
Fortschr Neurol Psychiatr. 1986 Dec;54(12):375-81. doi: 10.1055/s-2007-1001942.
The sequelae of a head injury that had occurred at least six months previously, were examined in 457 patients. Neurological deficiencies, psychoorganic disturbances and disability caused by the injury correlated positively with its severity. Posttraumatic epilepsies were diagnosed approximately equally often in patients with minor head injuries and in those with more severe ones. It is probable that epilepsies have been diagnosed too often in patients with minor head injuries. Headache occurs significantly more often in patients with minor head injuries. This cannot be explained by the selection of patients alone. A hypothesis explaining the development of posttraumatic headache is presented and discussed.
对457例至少在六个月前发生头部损伤的患者进行了后遗症检查。损伤导致的神经功能缺陷、精神器质性障碍和残疾与损伤严重程度呈正相关。轻度头部损伤患者和重度头部损伤患者中创伤后癫痫的诊断频率大致相同。轻度头部损伤患者中癫痫的诊断可能过于频繁。轻度头部损伤患者头痛的发生率明显更高。这不能仅用患者的选择来解释。本文提出并讨论了一个解释创伤后头痛发生机制的假说。