Consequences of the closed craniocerebral traum

Consequences of the closed craniocerebral trauma - difficult, developed in time, pathological process at which studying it is necessary to consider its various aspects., First of all, those morphological and functional disturbances of a brain which arise during the acute period of a craniocerebral trauma here concern. Subsequently on their basis those or other neurologic syndromes are formed. buy rimonabant Therefore the clinic should be surveyed in indissoluble unity with the periods of a current of disease. Character of its current is influenced by premorbidal features of the person, additional exogenous harmfulnesses, age of patients (S. Galbraith, 1987).
At diagnosis veneering it is necessary to aspire to reflect most full in it all these aspects.
Aetiology and pathogenesis. It is accepted to carry such damages at which the integrity of a skin remains to the closed craniocerebral traumas or there are wounds of soft tissues without damage of bones. Distinguish concussion, a bruise and a brain prelum. These three forms are sometimes difficult for differentiating both in acute, and during the subsequent periods, on what specified still N.I.pie. Really, at computer tomography . Smiths (1985) has established, that in 6,5 % of observations under "mask" of a concussion of the brain gross infringements proceeded more. Therefore some clinicians prefer to speak about syndrome. Moreover, during the late period of traumatic illness of a brain differences even between the open and closed craniocerebral trauma (N.I.Grashchenkov, I.M.Irger, 1962) are erased. Till now the question on classification of an acute craniocerebral trauma is discussed. Especially it concerns concussions of the brain. The majority of modern researchers suggest to refuse traditional division of a brain concussion into three degrees. To concussion carry the easiest “brain damages, serious forms should be regarded as the brain bruise which gravity part on three degrees. Thus it is known, that accurate conformity between a trauma kind, its gravity and character of consequences is not present (L.O.Badaljan, 1984; R.G. Dacey and co-workers., 1986). Posttraumatic syndromes can have both accident, and a contusional parentage. Therefore it is clear, as difficultly happens to establish a kind of the transferred acute craniocerebral trauma. Nevertheless at diagnosis veneering to it it is necessary to aspire, for what data of the objective anamnesis (the inquiry on the transferred trauma, an extract from a case history), and in some cases and clinical signs (cicatrixes of soft tissues, paresises of extremities, etc.) can be used . In other cases the first part of the diagnosis should be formulated as “a consequence of the closed craniocerebral trauma”. In our opinion, it is inexpedient in all cases to use for this purpose the term “traumatic illness of a brain”, meaning current process and making negative impact on mentality of the patient. vpxl
At the moment of an acute craniocerebral trauma all contents of a skull as a whole are exposed to pathological influence, however owing to the various reasons one formations suffer more, others - it is less. Thus, along with morphological, variety of functional changes develops.
At the heart of posttraumatic syndromes formed subsequently these various disturbances of the acute period also lay.