Sichez-Auclair N, Sichez J P
Neurochirurgie. 1986;32(1):63-73.
By studying a series of 103 head severe injured patients who survived and were not vegetative, following post-traumatic diffuse brain damage with clinical signs of axial impairment, the authors stress the importance of using a neuropsychological assessment in order to approach the outcome quality, that the common outcome scales cannot disclose by themselves. They are leading to be careful with regard to the disorders specificity and the merely traumatic origin of sequelae. Moreover they stress the difficulty in predicting the morbidity during the acute stage and only retain the quality of the awake stage and the ventricular size evaluated 3 months following the trauma, as reliable predicting factors. The results point out the disorders heterogeneity observed by that type of head injured patients, despite of the striking constancy of memory defect.
通过研究103例头部严重受伤且存活下来、未处于植物人状态的患者，这些患者在创伤后弥漫性脑损伤并伴有轴性损伤的临床体征，作者强调了使用神经心理学评估来评估预后质量的重要性，这是常用的预后量表自身无法揭示的。他们提醒要注意后遗症的疾病特异性和仅由创伤引起的起源。此外，他们强调在急性期预测发病率的困难，并仅将清醒期的质量和创伤后3个月评估的脑室大小作为可靠的预测因素。结果指出，尽管记忆缺陷非常恒定，但这类头部受伤患者仍存在疾病异质性。
