Aminov M
Vestn Rentgenol Radiol. 1995 Nov-Dec(6):5-7.
Follow-up clinical and computed tomographic (CT) studies were performed in 140 patients with focal brain contusions at the acute stage of brain injury (BI). A total of 133 victims were followed up and the time course of CT changes were examined in the intervening and late BI periods. Despite the favourable natural history of acute BI, mild, moderate, and severe posttraumatic changes were shown to appear as cicatricial-adhesive and atrophic processes, intracerebral cysts, porencephaly, which result in posttraumatic epilepsy, hydrocephalus, etc. The magnitude of diffuse changes rather than focal changes in the area of the prior medullary lesion was found to play the leading role in the victims' disability.
对140例脑损伤(BI)急性期局灶性脑挫伤患者进行了随访临床和计算机断层扫描(CT)研究。共对133例患者进行了随访,并在BI的中期和后期检查了CT变化的时间进程。尽管急性BI的自然病程良好,但轻度、中度和重度创伤后改变表现为瘢痕粘连和萎缩性病变、脑内囊肿、孔洞脑,这些会导致创伤后癫痫、脑积水等。结果发现,先前髓质损伤区域的弥漫性改变而非局灶性改变的程度在患者残疾中起主导作用。