期刊
JOURNAL OF CHILD NEUROLOGY
卷 31, 期 1, 页码 57-67出版社
SAGE PUBLICATIONS INC
DOI: 10.1177/0883073814543305
关键词
mild traumatic brain injury; children; pathophysiology; outcome; management
资金
- Alberta Children's Hospital Foundation
- Clinical Neurotrauma Grant Canadian Institutes of Health Research [293375]
- Faculty of Medicine, University of Calgary (Internal Award)
Postconcussion syndrome is a symptom complex with a wide range of somatic, cognitive, sleep, and affective features, and is the most common consequence of traumatic brain injury. Between 14% and 29% of children with mild traumatic brain injury will continue to have postconcussion symptoms at 3 months, but the pathophysiological mechanisms driving this is poorly understood. The relative contribution of injury factors to postconcussion syndrome decreases over time and, instead, premorbid factors become important predictors of symptom persistence by 3 to 6 months postinjury. The differential diagnoses include headache disorder, cervical injury, anxiety, depression, somatization, vestibular dysfunction, and visual dysfunction. The long-term outcome for most children is good, although there is significant morbidity in the short term. Management strategies target problematic symptoms such as headaches, sleep and mood disturbances, and cognitive complaints.
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