CHARACTERISTICS OF PATIENTS WITH CONSEQUENCES OF CRANIAL INJURY ON CONDUCTIVE NEUROLOGICAL POSTTRAUMATIC SYNDROME

Abstract

Clinically, the consequences of TBI consist of a range of somatic, neurological and psychiatric symptoms. The task of the clinician is to understand the causes of individual symptoms, their interaction.

The aim – was to evaluate the prevalence and dynamics of the main clinical syndromes in patients with the consequences of TBI depending on the severity and catamnesisof the injury.

Material and Methods. The clinical picture was assessed in 367 patients with the consequences of TBI, the mean age – (42.72 ± 0.51) years (mild trauma – in 99, moderate – in 118 and severe trauma – in 150 patients). According to the catamnesis of the injury, patients were divided into four groups: up to 1 year, 1–5 years, 6–10 years and more than 10 years. Characterization of the leading clinical syndromes was carried out according to the Lichterman’s classification of the consequences of TBI.

Results. Isolated clinical syndromes were diagnosed in 54.5 % of patients with mild TBI, in 37.3% – with moderate severity and in 20.6% of patients with severe TBI.

Conclusions. Mental dysfunction and cerebral focal syndrome was dominated in the remote period of TBI. With the prolongation of the catamnesis of TBI, the percentage of patients with a combination of several syndromes in the clinical picture increased: mild TBI - from 18.2 % (with catamnesis up to 1 year) to 75 % (with catamnesis of more than 10 years), moderate severity TBI – from 57.1 % (up to 1 year) to 69.2% (more than 10 years), severe TBI – from 71 % (up to 1 year) to 86.5% (more than 10 years).