Muller G E
Acta Neurol Belg. 1974 May-Jun;74(3):163-81.
In a consecutive series of 1,925 head injuries, 283 patients (14.7%), could not be classified, neither in the group of simple head injuries without cerebral symptoms, nor in the group of typical concussions characterized by immediate amnesia or observed coma. We have prefered the rather neutral term of atypical early posttraumatic syndromes. In this group, apart from neurovegetative manifestations, partial disturbances of consciousness and perception, we have also classified delayed disturbances of consciousness. Special attention has been given to migraineous phenomena and to a syndrome, characteristic for children, described by Mealey. This is an intermediate group important from a medico-legal point of view because certain transient cerebral manifestations risk to be mistaken for psychological reactions. On the other hand symptoms probably of psychic origin were discussed.
在连续的1925例头部损伤病例中，有283例患者（14.7%）无法分类，既不属于无脑症状的单纯头部损伤组，也不属于以即刻遗忘或观察到的昏迷为特征的典型脑震荡组。我们更倾向于使用“非典型早期创伤后综合征”这个相对中性的术语。在这组病例中，除了神经植物性表现、意识和感知的部分障碍外，我们还对意识的延迟障碍进行了分类。特别关注了偏头痛现象以及梅利描述的一种儿童特有的综合征。从法医学角度来看，这是一个重要的中间组，因为某些短暂的脑部表现有可能被误诊为心理反应。另一方面，也讨论了可能源于精神因素的症状。
