Role of Posttraumatic Cerebral Atrophy in the Structure of the Effects of Traumatic Brain Injury

Z.V. Salii, S.I. Shkrobot

Abstract


In order to investigate the role of posttraumatic cerebral atrophy (PCA) in the structure of the effects of traumatic brain injury (TBI), morphometric parameters were examined in 130 patients (35 of them had a history of mild TBI (mTBI), 95 — severe TBI (sTBI)). In 28.57 % of patients with mTBI effects and in 57.89 % — with sTBI effects, morphometric signs of PCA were diagnosed, in both groups patients with external PCA dominated. Among patients with sTBI catamnesis of 6–10 years, the individuals with the signs of external PCA dominated, over 10 years — of mixed PCA. Patients with open TBI in past medical history were more often diagnosed with morphometric sings of mixed PCA, and in combination of brain contusion with sub- and epidural hematoma — of external PCA. The patients with mixed PCA had mainly focal, as well as a combination of focal and seizures syndromes, a combination of three and more clinical syndromes and symptoms of autonomic vascular disorders — in a group with internal PCA, liquor hypertensive and psychoorganic syndromes in combination with focal one — in patients with external PCA. The highest percentage of patients with clinically significant anxiety and depression was observed in groups with the signs of mixed and internal PCA, asymptomatic anxiety and depression — in a group with external CA.


Keywords


effects of traumatic brain injury; posttraumatic cerebral atrophy

References


Мякотных В.С. Клинические, патофизиологические и морфологические аспекты отдаленного периода закрытой тяжелой черепно-мозговой травмы / В.С. Мякотных, Н.З. Таланкина, Т.А. Боровкова // Журнал неврологии и психиатрии. — 2002. — № 4. — С. 61-65.

Bhanu Sharma, David Wyndham Lawrence. Top-Cited Articles in Traumatic Brain Injury Front // Hum. Neurosci. — 2014. — 8. — 879. Published online 2014 Nov 5. doi: 10.3389/fnhum.2014.00879.

Stiefel M.F., Spiotta A., Gracias V.H., Garuffe A.M., Guillamondegui O., Maloney-Wilensky E. et al. Reduced mortality rate in patients with severe traumatic brain injury treated with brain tissue oxygen monitoring // J. Neurosurg. — 2005. — 103. — 805-811.

Шапошников С.М. Посттравматическая церебральная атрофия (клинико-компьютерно-томографическое исследование): Автореф. дис… канд. мед. наук. — Саратов, 2005. — 21 с.

Компьютерно-томографические особенности черепно-мозговой травмы различного характера / М.В. Сагель, Р.К. Корженевич, И.И. Шоломов, В.В. Машин // Саратовский научно-медицинский журнал. — 2007. — № 3(17). — С. 73-75.

Карасева Т.А. Посттравматическая церебральная атрофия (вопросы военно-медицинской экспертизы) // Известия высших учебных заведений. Поволжский регион. Медицинские науки. — 2012. — № 2 (22). — С. 109-116.

Konrad C., Geburek A.J., Rist F., Blumenroth H., Fischer B., Husstedt I. et al. Long-term cognitive and emotional consequences of mild traumatic brain injury // Psychol. Med. — 2011. — 41. — 1197-1211.




DOI: https://doi.org/10.22141/2224-0713.3.73.2015.78335

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