Nelson P B, Rosenbaum A E, Moossy J, Maroon J C
J Trauma. 1982 Jan;22(1):39-42. doi: 10.1097/00005373-198201000-00007.
The clinical and computed tomographic (CT) features of three consecutive cases of temporal lobe contusion emphasize the presentation and frequent subsequent progressive neurological deterioration. The initial presentation was one of lethargy and combativeness with little or no focal neurological deficits. Thereafter all patients developed progressive neurological deterioration with decreasing levels of consciousness and lateralizing signs. Computed tomography (CT) which aided in making the initial diagnosis was repeated following clinical deterioration. Worsening in the patient's clinical condition correlated positively with changes within the contusion as visualized by CT.
连续三例颞叶挫伤患者的临床及计算机断层扫描（CT）特征，突出了其临床表现及随后频繁出现的进行性神经功能恶化情况。最初表现为嗜睡和好斗，几乎没有或完全没有局灶性神经功能缺损。此后，所有患者均出现进行性神经功能恶化，意识水平下降并出现定位体征。在临床病情恶化后，重复进行了有助于做出初步诊断的计算机断层扫描（CT）。患者临床状况的恶化与CT显示的挫伤内变化呈正相关。
