雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

Clinical Assessment of Diffuse Brain Injury Sequelae:with respect to so-called post-traumatic disorder Hideaki MASUZAWA 1 , Yutaka TOKUYAMA 1 , Toshiro KUBO 1 , Itaru KANAZAWA 1 , Hiroshi KAMITANI 1 , Jinichi SATO 2 1Department of Neurosurgery, Kanto Teishin Hospital 2NTT Musashino Health Clinic Keyword: Head injury , Diffuse brain injury , Diffuse axonal injury , Post-traumatic sequelae , Post-concussional syndrome pp.723-730
Published Date 1994/8/10
DOI https://doi.org/10.11477/mf.1436900884
  • Abstract
  • Look Inside

Brain injury sequelae were observed in 24 patients who had sustained diffuse brain injury. According to their ability to lead social life, the severity was classi-fied into 6 levels; vegetative, severe, moderate, mild, fair, and good. The severity levels statistically corre-lated with the length of the initial unconsciousness (Spearman's correlation coefficient r=0.929, n=24, p< 0.01), with posttraumatic amnesia (r=0.827, n=8, p< 0.05), with ventricular enlargement (r=0.808, n=24, p <0.01) and with the presence of hemiplegia (r=0.740, n=24, p<0.01). Children and young adults showed a tendency to improve to milder levels. Mild head injury patients who sustained concussion of less than 6 hours in duration also showed minimal sequelae such as mild ventricular dilatation and difficulty in recent memory.This memory impairment had often been ascribed to the so-called postconcussional syndrome. The threshold for occurrence of diffuse brain injury sequelae was esti-mated as concussion lasting 15-30 minutes or post-traumatic amnesia of a few days in duration in adults and about a week in children. Superficially localized brain contusion was frequently observed and was not correlated with the severity level, hemiplegia or post-concussional syndrome.


Copyright © 1994, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院

関連文献

もっと見る

文献を共有