Scherzer E B
MMW Munch Med Wochenschr. 1975 Dec 5;117(49):1961-4.
If a patient suffers headaches as a result of cranial trauma, the medical expert must first of all clear up the cause of these subjective complaints. A precise diagnosis of the primary lesion and possible posttraumatic complications is a prerequisite. The differential diagnosis must take into consideration non-traumatic diseases which are also associated with headache. In the majority of cases, non-traumatic factors such as a low level of intelligence, hysterical, hypochondriacal and psychopathic personality structures and the particular conditions of the accident give rise to the development of persistent headaches after cranial injury. Difficulties in estimating the duration of headache due to trauma for the purposes of private accident insurance are pointed out and finally questions of impaired healing conditions (delayed recompensation) and "psychic" pain are dealt with.
如果患者因颅脑外伤而头痛，医学专家首先必须查明这些主观症状的病因。准确诊断原发性损伤和可能的创伤后并发症是前提条件。鉴别诊断必须考虑到也与头痛相关的非创伤性疾病。在大多数情况下，诸如智力水平低、癔症、疑病症和精神病态人格结构等非创伤性因素以及事故的特殊情况会导致颅脑损伤后持续性头痛的发生。指出了在私人意外保险中估算因创伤导致的头痛持续时间的困难，最后讨论了愈合条件受损（延迟赔偿）和“精神性”疼痛的问题。
