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  1. The problem of mild brain injury.

    Article - En anglais

    It is estimated that 2,000,000 traumatic brain injuries (TBIs) occur in the U.S.A. each year ; 9O% are classified as « mild brain injuries » (MBIs).

    The epidemiology, pathophysiology, and diagnosis of MBI and the « postconcussion syndrome » (PCS) are reviewed, with particular attention to outcome data and factors that predict outcome.

    Symptoms of PCS may be quite severe, but severe symptoms are almost invariably transient.

    Persistent deficits may arise from MBI, but persistent problems are usually mild and are rarely disabling.

    Catastrophic outcomes related to MBI do occur, in the following situations. (a) What appears to be an MBI is really a severe injury. (b) PCS evolves into a posttraumatic depression that is unrecognized and untreated. (c) A premorbid psychiatric condition is mobilized around the MBI as a focal (but not a causative) event. (d) A patient shows signs of a « functional » condition, i.e., conversion disorder (hysteria), somatoform pain disorder, compensation neurosis, or malingering.

    Mots-clés Pascal : Article synthèse, Epidémiologie, Physiopathologie, Diagnostic, Commotion cérébrale, Etat dépressif, Association morbide, Comportement simulateur, Névrose, Compensation, Antécédent, Trouble psychiatrique, Conversion somatique, Névrose hystérique, Séquelle, Homme, Forme bénigne, Diaschisis, Posttraumatisme cranioencéphalique syndrome, Système nerveux pathologie, Système nerveux central pathologie, Complication, Traumatisme, Crânioencéphalique, Encéphale pathologie, Système ostéoarticulaire pathologie, Crâne pathologie, Trouble somatoforme

    Mots-clés Pascal anglais : Review, Epidemiology, Pathophysiology, Diagnosis, Brain concussion, Depression, Concomitant disease, Simulation behavior, Neurosis, Compensation, Antecedent, Mental disorder, Somatic conversion, Hysterical neurosis, Sequela, Human, Late effects of head injury, Nervous system diseases, Central nervous system disease, Complication, Trauma, Craniocerebral, Cerebral disorder, Diseases of the osteoarticular system, Skull disease, Somatoform disorder

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0321275

    Code Inist : 002B18C13. Création : 01/03/1996.