Jenzer G
Nervenarzt. 1995 Oct;66(10):730-5.
Whiplash injury to the cervical spine and its possible long-term sequelae, the late (or chronic) whiplash syndrome, are analysed based on a clearly defined accident mechanism and an initial battery of investigations to exclude lesions other than those affecting the soft tissue of the neck region (i.e. the consequences of strain and sprain). Predictors are discussed that may point to a delayed and complicated recovery, with development of a complex array of symptoms. The pattern of this symptomatology, as reviewed on the basis of different neuropsychological investigations, appears inhomogeneous. Comparison with other non-traumatic conditions, such as the chronic fatigue syndrome, the fibromyalgia syndrome and chronic daily headache, as well as with chronic disturbances of cervical origin, reveals striking similarities. In cases of litigation, these circumstances require careful assessment of the patient's previous history and an extensive differential diagnosis. Whiplash injury to the cervical spine rarely results in disability and, if so, is only minor.
基于明确界定的事故机制以及一系列初步检查以排除颈部区域软组织损伤（即拉伤和扭伤的后果）以外的病变，对颈椎挥鞭伤及其可能的长期后遗症——晚期（或慢性）挥鞭综合征进行了分析。文中讨论了可能预示恢复延迟和复杂的预测因素，这些因素会导致一系列复杂症状的出现。根据不同神经心理学检查回顾的这种症状模式似乎并不均匀。与其他非创伤性疾病，如慢性疲劳综合征、纤维肌痛综合征和慢性每日头痛，以及与颈椎源性慢性疾病进行比较，发现了惊人的相似之处。在诉讼案件中，这些情况需要仔细评估患者的既往病史并进行广泛的鉴别诊断。颈椎挥鞭伤很少导致残疾，即便如此，也只是轻微残疾。
