Ross B L, Temkin N R, Newell D, Dikmen S S
Department of Rehabilitation Medicine, University of Washington, Seattle 98195.
Am J Phys Med Rehabil. 1994 Sep-Oct;73(5):341-7. doi: 10.1097/00002060-199409000-00007.
Neuropsychological test performances of 102 consecutive head-injured patients were evaluated at 1 mo and 1 yr after injury. The results of the study indicated that both coma length and the presence of focal abnormalities on computed tomography (CT) scans contribute independently to neuropsychological outcome. The effects of coma length are stronger than the effects of focal abnormalities evident on CT scans and continue to exert a stronger influence on neuropsychological outcome over the year postinjury. These results suggest that the extent of diffuse pathology may be a more important determinant of long-term behavioral outcome than the presence of focal lesions.
对102例连续的头部受伤患者在受伤后1个月和1年时进行了神经心理学测试。研究结果表明，昏迷时间长短和计算机断层扫描（CT）上局灶性异常的存在均独立地影响神经心理学结果。昏迷时间长短的影响比CT扫描上明显的局灶性异常的影响更强，并且在受伤后的一年中对神经心理学结果继续产生更强的影响。这些结果表明，弥漫性病变的程度可能比局灶性病变的存在更能决定长期行为结果。
