Treatment in Postconcussional Syndrome

Yıl 2013, Cilt: 5 Sayı: 1, 95 - 108, 01.03.2013

Necla Keskin Lut Tamam

https://doi.org/10.5455/cap.20130507

Öz

Postconcussional syndrome is characterized by somatic, cognitive and psychiatric (emotional, behavioral) symptoms that occur after mild traumatic brain injury. These symptoms usually recover fully within 3-6 months almost in 90% of patients. Persistent post-concussion symptoms could occur in 10% of patients. Diagnosis is based on the subjective complaints and the treatment of the syndrome is mainly of palliative nature. The patient should be educated about the nature and outcome of the syndrome and reassured that almost all symptoms recover fully within 3-6 months. Multifaceted rehabilitation programs and cognitive behavioral therapy could be beneficial. Pharmacotherapy and somatic therapy are other options for persistent symptoms.

Anahtar Kelimeler

Postconcussional syndrome, treatment

Postkontüzyonel Sendromda Tedavi

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. Geriye kalan %10'luk kesimde kalıcı post-kontüzyon belirtileri görülür. Tanısı öznel yakınmalara dayanan bu durumun tedavisi genellikle bildirilen belirtilere yöneliktir. Kişi erken dönemde hastalığın doğası ve seyri konusunda bilgilendirilmeli, belirtilerin çoğunlukla 3-6 ay içerisinde düzeldiği vurgulanmalıdır. Çok yönlü rehabilitasyon programları ve özellikle son zamanlarda etkinliğine dair umut verici çalışmalar olan bilişsel davranışçı tedavi faydalı olabilir. Kalıcı belirtiler için farmakoterapi ve somatik tedaviler kullanılabilir.

Anahtar Kelimeler

Postkontüzyonel sendrom, tedavi

Kaynakça

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• Erken DD, Okay Tİ, Dilbaz N. Psikiyatride beyin sarsılması sonrası sendromu. Klinik Psikofarmakoloji Bülteni 2008; 18:130-139. Necla Keskin, Dr., Çukurova Üniversitesi Tıp Fakültesi Psikiyatri ABD, Adana; Lut Tamam, Prof. Dr., Çukurova Üniversitesi Tıp Fakültesi Psikiyatri ABD, Adana. Yazışma Adresi/Correspondence: Necla Keskin, Çukurova Üniversitesi Tıp Fakültesi Psikiyatri ABD, Adana, Turkey. E-mail: [e-mail] Yazarlar bu makale ile ilgili herhangi bir çıkar çatışması bildirmemişlerdir. The authors reported no conflict of interest related to this article. Çevrimiçi adresi / Available online at: www.cappsy.org/archives/vol5/no1/ Çevrimiçi yayım / Published online 10 Kasım/November 10, 2012; doi:10.5455/cap.20130507