Levin H S, Grossman R G
Arch Neurol. 1978 Nov;35(11):720-7. doi: 10.1001/archneur.1978.00500350024005.
We determined the profile of behavioral disturbance in relation to closed head injury of graded severity. Patients with severe injuries, as defined by duration of coma and the presence of neurological deficit, were differentiated from a group of mildly injured patients by behavioral ratings that reflected cognitive disorganization, emotional withdrawal, and motor retardation. Neurologic measurements of injury related to the severity of behavioral disturbance included hemiparesis, aphasia, and abnormalities on computerized axial tomography. Agitation during the acute phase of injury was also predictive of residual behavioral disturbance. Hemispheric lateralization of the site of greatest injury had no discernible effect on behavioral sequelae.
我们确定了与不同严重程度的闭合性颅脑损伤相关的行为障碍特征。根据昏迷持续时间和神经功能缺损情况定义的重伤患者，通过反映认知紊乱、情感退缩和运动迟缓的行为评分，与一组轻伤患者区分开来。与行为障碍严重程度相关的损伤神经学测量指标包括偏瘫、失语以及计算机断层扫描异常。损伤急性期的躁动也可预测残留的行为障碍。损伤最严重部位的半球侧化对行为后遗症没有明显影响。
