[Pathogenesis and psychosocial consequences of post-concussion syndrome].
About 35% of subjects with head injury (HI) suffer from postconcussion syndrome (PCS). These disturbances can be chronic or even permanent. Such patients are discharged from hospital without any apparent problems, but it is often the case that their families, and sometimes even they themselves, start to notice the emergence of new problems. They may exhibit affective changes, such as thinking that they are worthless, alone and without any future perspectives. When they are left without the help of specialists and/or family and friends, their problems gain even greater significance. PCS includes subjective physical complaints (i.e. headache, dizziness) and cognitive, emotional and behavioral changes. PCS influences all areas of the patient's life. Subjects who have sustained head injury often have problems with marital relationships, maintaining of independence, employment, leisure activities and other functions which are related to social adjustment. Various studies have attempted to predict the post-injury status of HI patients from information available, such as data on the severity of head injury, the duration of post-traumatic amnesia (PTA) and the results of neuropsychological assessment. This kind of prediction is important in planning of rehabilitation services and thus improving the kind of help available to survivors of HI. Early prediction of post-injury psychological status may also help the patient and his family in coping with the difficulties related to the trauma. We know a great deal about head injury and its consequences, but many questions still need to be answered. Among these are issues such as: the role of neurobehavioral data in the prediction of outcome for HI patients, the identification of variables determining the extent of PCS and the search for reliable factors which may influence future employment or school status. The assessment of patients for invalidity and other social security benefits also requires a more rational approach, based on the data available.
Pelczar
M
M
Kliniki Neurochirurgii Akademii Medycznej w Białymstoku.
Polityńska
B
B
D001924:Brain Concussion / Q000150:complications* / Q000523:psychology*; D003072:Cognition Disorders / Q000209:etiology*; D005192:Family Health; D006801:Humans; D019964:Mood Disorders / Q000209:etiology*; D013577:Syndrome
Patogeneza i psychospołeczne konsekwencje zespołu pourazowego.