轻度创伤性脑损伤（脑震荡）的临床进展

Clinical Updates in Mild Traumatic Brain Injury (Concussion).

作者信息

Moore Megan, Sandsmark Danielle K

机构信息

Department of Neurology, University of Pennsylvania Perelman School of Medicine, 51 North 39th Street, Andrew Mutch Building 4th Floor, Philadelphia, PA 19104, USA.

Department of Neurology, Division of Neurocritical Care, University of Pennsylvania Perelman School of Medicine, 51 North 39th Street, Medical Office Building Suite 205, Philadelphia, PA 19104, USA.

出版信息

Neuroimaging Clin N Am. 2023 May;33(2):271-278. doi: 10.1016/j.nic.2023.01.003. Epub 2023 Feb 4.

DOI:10.1016/j.nic.2023.01.003

PMID:36965945

Abstract

Traumatic brain injury (TBI) affects > 3 million people in the United States annually. Although the number of deaths related to severe TBIs has stabalized, mild TBIs, often termed concussions, are increasing. As evidence indicates that a significant proportion of these mild injuries are associated with long-lasting functional deficits that impact work performance, social integration, and may predispose to later cognitive decline, it is important that we (a) recognize these injuries, (b) identify those at highest risk of poor recovery, and (c) initiate appropriate treatments promptly. We discuss the epidemiology of TBI, the most common persistent symptoms, and treatment approaches.

摘要

创伤性脑损伤（TBI）在美国每年影响超过300万人。尽管与重度创伤性脑损伤相关的死亡人数已趋于稳定，但轻度创伤性脑损伤（通常称为脑震荡）的病例却在增加。有证据表明，这些轻度损伤中有很大一部分与长期功能缺陷有关，这些缺陷会影响工作表现、社会融入，并且可能导致后期认知能力下降。因此，重要的是我们要（a）识别这些损伤，（b）确定恢复不良风险最高的人群，以及（c）及时启动适当的治疗。我们将讨论创伤性脑损伤的流行病学、最常见的持续症状以及治疗方法。