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[神经科患者样本中颅脑损伤的后遗症——对创伤后头痛的一种解读尝试]

[Sequelae of craniocerebral injuries in a neurologic patient sample--an attempt at interpreting post-traumatic headache].

作者信息

Radanov B, Ludin H P

出版信息

Fortschr Neurol Psychiatr. 1986 Dec;54(12):375-81. doi: 10.1055/s-2007-1001942.

DOI:10.1055/s-2007-1001942
PMID:3102330
Abstract

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.

摘要

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。

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1
[Sequelae of craniocerebral injuries in a neurologic patient sample--an attempt at interpreting post-traumatic headache].[神经科患者样本中颅脑损伤的后遗症——对创伤后头痛的一种解读尝试]
Fortschr Neurol Psychiatr. 1986 Dec;54(12):375-81. doi: 10.1055/s-2007-1001942.
2
[Neuropsychiatric sequelae following severe brain injuries in childhood and adolescence].
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Vrach Delo. 1988 Jul(7):82-4.
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[Clinical analysis of 400 cases of sequelae of closed craniocerebral injuries].
Zhonghua Shen Jing Jing Shen Ke Za Zhi. 1982 May;15(2):95-7.
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Post-traumatic syndrome after minor head injury cannot be predicted by neurological investigations.轻度头部损伤后的创伤后综合征无法通过神经学检查预测。
Brain Dev. 2004 Mar;26(2):113-7. doi: 10.1016/S0387-7604(03)00110-4.
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[Somato-psychic syndromes in cerebro-cranial traumatology].[颅脑创伤学中的躯体-心理综合征]
Acta Psychiatr Belg. 1970 May;70(3):419-44.
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[Sequelae of craniocerebral injuries in children].
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[Late results following craniocerebral injuries of varying clinical severeness in childhood].
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Late effects of head injuries.头部损伤的远期影响
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[Current status of severe head injury sequelae in adults. 3. Aspects of severe classical sequelae].[成人重型颅脑损伤后遗症的现状。3. 典型严重后遗症的各个方面]
Neurochirurgie. 1972 May;18:Suppl 2:75-122.