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Late postconcussional symptoms in traumatic head injury. An analysis of frequency and risk factors

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Summary

During follow-up of 485 adult patients with traumatic head injury, 51% of the patients reported new post-concussional symptoms after an observation period of 3–5 years (mean 4.0 years).

Most data, including the level of consciousness on admission, lenght of post-traumatic amnesia and days of hospitalization were poor parameters for predicting which patients would suffer late complications. A few variables were statistically of predictive importance: Sex, repeated head injury and skull fracture. Age was a risk factor for multiple complaints.

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References

  1. Adler A (1945) Mental symptoms following head injury. Arch Neurol 53: 34–43

    Google Scholar 

  2. Apfel RJ (1982) How are women sicker than men? An overview of psychosomatic problems in women. Psychother Psychosom 37: 106–118

    PubMed  Google Scholar 

  3. Bakay L, Glasauer FE (1980) Skull fractures. In: Head injury. Little, Brown and Company, Boston, pp 69–96

    Google Scholar 

  4. Balla JI, Elstein AS (1984) Skull X-ray assessment of head injuries: a decision analytic approach. Methods Inform Med 23: 135–138

    Google Scholar 

  5. Barth JT, Macciocci SN, Giordani B, Rimel R, Jane JA, Boll TJ (1983) Neuropsychological sequelae of minor head injury. Neurosurg 13: 529–533

    PubMed  Google Scholar 

  6. Becker DP, Miller JD, Ward JD, Greenberg RP, Young HF, Sakalas R (1977) The outcome from severe injury with early diagnosis and intensive management. J Neurosurg 47: 491–502

    PubMed  Google Scholar 

  7. Böhnel P (1985) Heilt die unkomplizierte Commotio cerebri immer folgenlos aus? Unfallchirurg 88: 145–148

    PubMed  Google Scholar 

  8. Cartlidge NEF, Shaw DA (1981) Head injury. WB Saunders Company Ltd London Philadelphia Toronto

    Google Scholar 

  9. Choi SC, Ward JD, Becker DP (1983) Chart for outcome prediction in severe head injury. Neurosurg 59: 294–297

    PubMed  Google Scholar 

  10. Cooper CL, Melhuish A (1984) Executive stress and health. Differences between men and women. Occupat Med 26: 99–104

    Google Scholar 

  11. Davis RA, Cunningham PS (1984) Prognostic factors in severe head injury. Surg Gynec Obstet 159: 597–604

    PubMed  Google Scholar 

  12. Edna T-H (1983) Acute traumatic intracranial haematoma and skull fracture. Acta Chir Scand 149: 449–451

    PubMed  Google Scholar 

  13. Engelman L (1985) Stepwise logistic regression. In: Dixon WJet al (eds) BMDP Statistical Software, University of California Press, Berkeley Los Angeles London, pp 330–344

    Google Scholar 

  14. Fisher JM (1985) Behavioral consequences of closed head injury. Seminars Neurol 5: 197–204

    Google Scholar 

  15. Gale JL, Dikmen S, Wyler A, Temkin N, McLean A (1983) Head injury in the Pacific Northwest. 12: 487–491

    Google Scholar 

  16. Gronwall D, Wrightson P (1974) Delayed recovery of intellectual function after minor head injury. Lancet II: 605–609

    Google Scholar 

  17. Halperin M, Blackwelder WC, Verter JI (1971) Estimation of the multivariate logistic risk function: A comparison of the discriminant function and maximum likelihood approaches. J Chron Dis 24: 125–158

    PubMed  Google Scholar 

  18. Hans P, Albert A, Born JD, Chapelle JP (1985) Derivation of a bioclinical prognostic index in severe head injury. Intensive Care Med 11: 186–191

    PubMed  Google Scholar 

  19. Jane JA, Rimel RW (1982) Prognosis in head injury. In: Weiss MH,et al (eds) Clinical Neurosurgery. Williams ß Wilkins, Baltimore London, pp 346–352

    Google Scholar 

  20. Jane JA, Rimel RW, Alves WM, Dacey RG, Winn HR, Colohan AR (1985) Minor and moderate head injury: model systems. In: Dacey RG,et al (eds) Trauma of the central nervous system. Raven Press, New York, pp 27–32

    Google Scholar 

  21. Jennett B, Teasdale G, Braakman R, Minderhoud J, Knill-Jones R (1976) Predicting outcome in individual patients after severe head injury. Lancet I: 1031–1034

    Google Scholar 

  22. Jennett B, Teasdale G (1981) Early assessment of the head injury patient. In: Management of head injuries. F.A. Davies Company, Philadelphia, pp 95–110

    Google Scholar 

  23. Jennett B, Teasdale G (1981) Recovery after head injury. In: Management of head injuries. F.A. Davies Company, Philadelphia, pp 253–269

    Google Scholar 

  24. Karnaze DS, Weiner JM, Marshall LF (1985) Auditory evoked potentials in coma after closed head injury. Neurology 35: 1122–1126

    PubMed  Google Scholar 

  25. Kohi YM, Mendelow AD, Teasdale GM, Allardice GM (1984) Extracranial insults and outcome in patients with acute head injury-relationship to the Glasgow Coma Scale. Injury 16: 25–29

    PubMed  Google Scholar 

  26. Lidvall HF (1974) Causes of post-concussional syndrome. Acta Neurol Scand [Suppl] 56; 50

    Google Scholar 

  27. Marshall LF, Smith RW, Shapiro HM (1979) The outcome with agressive treatment in severe head injuries. Part I. The significance of intracranial pressure monitoring. J Neurosurg 50: 20–25

    PubMed  Google Scholar 

  28. McLean A, Temkin NR, Dikmen S, Wyler AR (1983) The behavioral sequelae of head injury. Clin Neuropsychol 5: 361–376

    Google Scholar 

  29. Mendelow AD, Teasdale G, Jennett B, Bryden J, Hessett C, Murray G (1983) Risks of intracranial haematoma in head injured adults. Br Med J 287: 1173–1176

    Google Scholar 

  30. Merskey H, Woodforde JM (1972) Psychiatric sequelae of minor head injury. Brain 95: 521–528

    PubMed  Google Scholar 

  31. Minderhoud JM, Boelens MEM, Huizenga J, Saan RJ (1980) Treatment of minor head injuries. Clin Neurol Neurosurg 82: 127–140

    PubMed  Google Scholar 

  32. Noseworthy JH, Miller J, Murray TJ, Regan D (1981) Auditory brainstem responses in postconcussion syndrome. Arch Neurol 38: 275–278

    PubMed  Google Scholar 

  33. Oddy M, Humphrey M, Uttley D (1978) Subjective impairment and social recovery after closed head injury. Neurol Neurosurg Psychiat 41: 611–616

    Google Scholar 

  34. Oppenheimer DR (1968) Microscopic lesions in the brain following head injury. Neurol Neurosurg Psychiat 31: 299–306

    Google Scholar 

  35. O'Shaughnessy J, Fowler RS, Reid V (1984) Sequelae of mild closed head injuries. Family Practice 18: 391–394

    Google Scholar 

  36. Relander M, Troupp H, Bjørkesten G (1972) Controlled Trial of Treatment for Cerebral Concussion. Br Med J 4: 777–779

    PubMed  Google Scholar 

  37. Rimel RW, Giordani B, Barth JT, Boll TJ, Jane JA (1981) Disability caused by minor head injury. Neurosurg 9: 221–228

    PubMed  Google Scholar 

  38. Russell WR (1974) Recovery after minor head injury. Lancet II: 1315

    Google Scholar 

  39. Rutherford WH, Merrett JD, McDonald JR (1977) Sequelae of concussion caused by minor head injuries. Lancet I, 1–4

    Google Scholar 

  40. Stablein DM, Miller JD, Choi SC, Becker DP (1980) Statistical methods for determining prognosis in severe head injury. Neurosurg 6: 243–248

    PubMed  Google Scholar 

  41. Stuss DT, Ely P, Hugenholtz H, Richard MT, LaRochelle S, Poirier CA, Bell I (1985) Subtle neuropsychological deficits in patients with good recovery after closed head injury. Neurosurg 17: 41–47

    Google Scholar 

  42. Symonds C (1962) Concussion and its sequelae. Lancet I: 1–5

    Google Scholar 

  43. Taylor AR, Bell TK (1966) Slowing of cerebral circulation after concussional head injury. Lancet II: 178–180

    Google Scholar 

  44. Taylor AR (1967) Post-concussional sequelae. Br Med J 3: 67–71

    PubMed  Google Scholar 

  45. Turazzi S, Bricolo A, Pasut ML (1984) Review of 1000 consecutive cases of severe head injury treated before the advent of CT scanning. Acta Neurochir (Wien) 72: 167–195

    Google Scholar 

  46. Wadell PA, Gronwall DMA (1984) Sensitivity to light and sound following minor head injury. Acta Neurol Scand 69: 270–276

    PubMed  Google Scholar 

  47. Weller MPI (1985) Head injury—organic and psychogenic issues in compensation claims. Med Sci Law 25: 11–25

    PubMed  Google Scholar 

  48. Williams JM, Gomes F, Drudge OW, Kessler M (1984) Predicting outcome from closed head injury by early assessment of trauma severity. Neurosurg 61: 581–585

    Google Scholar 

  49. Wingard DL (1984) The sex differential in morbidity, mortality and lifestyle. Ann Rev Public Health 5: 433–458

    Google Scholar 

  50. Wrightson P, Gronwall D (1980) Time off work and symptoms after minor head injury. Injury 12: 445–454

    Google Scholar 

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Edna, T.H., Cappelen, J. Late postconcussional symptoms in traumatic head injury. An analysis of frequency and risk factors. Acta neurochir 86, 12–17 (1987). https://doi.org/10.1007/BF01419498

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