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文摘
本研究探讨创伤后运动障碍的发生在重型颅脑损伤的幸存者。我们研究了一系列的连续398患者住院的格拉斯哥昏迷评分8他们持续的头部创伤后或更少。一百三十四的398名患者(34%)死亡后住院或进一步的课程。并于221年获得了最近一次随访的264剩下的病人(84%)。后续由三级评估,包括调查问卷、电话访问和个人考试。五十的221名患者(22.6%)发展运动障碍次要头部创伤,是临时在23个患者(10.4%)和永久27例(12.2%)。42例(19%)有震动,9例(4.1%)有肌张力障碍,7例(3.2%)有其他的运动障碍。12例(5.4%)有禁用低频动能震动(2.5到4赫兹)或肌张力障碍,或两者兼而有之。低频动能震动发达的延迟2周6个月后创伤,和肌张力障碍延迟从2个月到2年。与患者相比无运动障碍,这群的特点是不同的分布剖面的格拉斯哥昏迷评分更高比例的降低录取分数(p < 0.05)。 When we compared the initial CT findings, there were highly significant associations between generalized brain edema and the occurrence of any movement disorders, between generalized brain edema and the occurrence of persistent movement disorders, and between generalized brain edema and the occurrence of kinetic tremors and dystonia. We detected similar associations for focal cerebral lesions, but not for subdural and epidural hematomas. In conclusion, transient or persistent movement disorders are common sequelae in survivors of severe head injury. Disabling movement disorders such as kinetic tremors and dystonia, however, occur only in a small group of patients.
首页神经学1996;47:1488 - 1492
- 版权1996年Advanstar通信公司。
