Öz
Postconcussional syndrome is characterized by somatic, cognitive and psychiatric (emotional, behavioral) symptoms that occurs after mild traumatic brain injury. It has been known that these symptoms recover fully within 3-6 months almost in 90% of patients. Although its etiology is still controversial, biological, psychological and social factors may account for the development and continuation of the symptoms. Diagnosis is based on the subjective complaints. To find out an objective method for definite diagnosis, trials searching for both neuroimaging and specific serum biomarkers stil continue. The treatment of the syndrome is mainly of palliative nature. Information, education, reassurance and multifaceted rehabilitation programmes can be beneficial. There are promising trials reporting the effectiveness of cognitive behavioral therapy in the treatment of postconcussional syndrome.
Anahtar Kelimeler
Kaynakça
- McAllister TW. Neurobiological consequences of traumatic brain injury. Dialogues Clin Neurosci. 2011; 13: 287–300.
- Evans RW. The postconcussion syndrome and the sequelae of mild head injury. Neurol Clin. 1992;10:815-47.
- Meares S, Shores EA, Taylor AJ, Batchelor J, Bryant RA, Baguley IJ et al. Mild traumatic brain injury does not predict acute postconcussion syndrome. J Neurol Neurosurg Psychiatry. 2008; 79:300-6. Macleod AD: Post concussion syndrome: The attraction of the psychological by the organic. Med Hypotheses. 2010; 74:1033-5.
- Silverberg ND, Iverson GL. Etiology of the post-concussion syndrome: physiogenesis and psychogenesis revisited. Neuro Rehabilitation. 2011; 29:317-29.
- Hall RCW, Hall RCW, Chapman MJ. Definition, diagnosis and forensic implications of postconcussional syndrome. Psychosomatics. 2005; 46:195-202.
Öz
Postkontüzyonel sendrom hafif şiddette kafa travması sonrası gelişen fiziksel, bilişsel ve psikiyatrik (duygusal, davranışsal) belirtilerle karakterizedir. Belirtilerin 3-6 ay içerisinde, kişilerin yaklaşık %90'ında, tamamen düzeldiği bilinmektedir. Etyolojisinde rol oynayan nedenler hala tartışmalı olmakla birlikte, biyolojik, psikolojik ve sosyal nedenlerin, belirtilerin ortaya çıkmasında ve sürmesinde etkili olduğu düşünülmektedir. Tanısı öznel yakınmalara dayanır, kesin tanı koydurucu nesnel bir yöntem olmamakla birlikte hem görüntüleme yöntemleri hem de spesifik serum belirteçleri ile ilgili çalışmalar sürmektedir. Tedavisi belirtilere yöneliktir. Bilgilendirme, eğitim, güvence verme ve çok yönlü rehabilitasyon programlarından faydalanılabilir, bilişsel davranışçı terapinin etkinliği ile ilgili umut verici çalışmalar mevcuttur.
Anahtar Kelimeler
Kaynakça
- McAllister TW. Neurobiological consequences of traumatic brain injury. Dialogues Clin Neurosci. 2011; 13: 287–300.
- Evans RW. The postconcussion syndrome and the sequelae of mild head injury. Neurol Clin. 1992;10:815-47.
- Meares S, Shores EA, Taylor AJ, Batchelor J, Bryant RA, Baguley IJ et al. Mild traumatic brain injury does not predict acute postconcussion syndrome. J Neurol Neurosurg Psychiatry. 2008; 79:300-6. Macleod AD: Post concussion syndrome: The attraction of the psychological by the organic. Med Hypotheses. 2010; 74:1033-5.
- Silverberg ND, Iverson GL. Etiology of the post-concussion syndrome: physiogenesis and psychogenesis revisited. Neuro Rehabilitation. 2011; 29:317-29.
- Hall RCW, Hall RCW, Chapman MJ. Definition, diagnosis and forensic implications of postconcussional syndrome. Psychosomatics. 2005; 46:195-202.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Derleme |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Mart 2013 |
| Yayımlandığı Sayı | Yıl 2013 Cilt: 22 Sayı: 1 |
