Ring T, Müller-Kortkamp M, Sattler R W
Abteilung für Allgemein- und Unfallchirurgie, Kreiskrankenhaus Soltau.
Zentralbl Chir. 1993;118(8):466-71.
Children with mild to moderate brain injury often show by conventional neurological and radiological primary examination no pathologic findings. But follow-up controls demonstrated, that the initial neurologic damage is not always sufficiently registered. With the additional neurootological examination is an accepted method available, which permits objective statements about lesions in the peripheral and central sensory system. With this examination we were able to demonstrate in a definite collective of children with mild brain injury neurological deficits in a high percentage; 40% had in impairment of the auditory system. In the course nearly all children showed a spontaneous recovery of the sensory system. Kind and localisation of the posttraumatic lesions pointed out, that mild to moderate traumatic brain injuries in childhood predominantly yield to an indirect damage of the brainstem.
轻度至中度脑损伤的儿童在常规神经学和放射学初步检查中通常无病理发现。但随访检查表明,最初的神经损伤并非总能被充分记录。额外的神经耳科学检查是一种被认可的方法,它能对周围和中枢感觉系统的病变作出客观陈述。通过这项检查,我们能够在一个明确的轻度脑损伤儿童群体中证实,相当高比例的儿童存在神经功能缺损;40%的儿童听觉系统受损。在病程中,几乎所有儿童的感觉系统都出现了自发恢复。创伤后病变的类型和定位表明,儿童期轻度至中度创伤性脑损伤主要导致脑干的间接损伤。