最后审阅: 22 五月 2021
最后更新: 09 四月 2021

小结

定义

病史和体格检查

关键诊断因素

  • 有头部钝性创伤或加速力/减速力损伤病史
  • 损伤后三十分钟或更长时间的格拉斯哥昏迷量表评分为 13-15 分,且出现一过性神经系统异常
  • 危险因素

其他诊断因素

  • 头痛
  • 步态/平衡障碍或头晕
  • 人格解体
  • 疲劳
  • 记忆障碍或失忆
  • 呕吐/恶心
  • 颈疼痛
  • 神经系统体格检查正常
  • 认知评估结果异常

危险因素

  • 头部损伤
  • 陈旧性颅脑创伤
  • 酒精和药物滥用

诊断性检查

需考虑的检查

  • 头颅 CT
  • 头部 MRI
  • 凝血筛查
  • 颅骨 x 线检查
  • 酒精筛查(呼气和血液

治疗流程

撰稿人

Consultant Neurologist

Greater Manchester Neurosciences Centre

Salford Royal Foundation Trust

Manchester

UK

简介

MJ is an honorary senior lecturer at the University of Manchester.

利益声明

MJ declares that he has no competing interests.

BMJ Best Practice would like to gratefully acknowledge the previous team of expert contributors, whose work is retained in parts of the content:

Luke C. Henry, PhD

Assistant Professor

Department of Neurological Surgery

Senior Clinical Neuropsychologist

University of Pittsburgh

Pittsburgh

PA

LCH declares that he has no competing interests.

Maria Twichell, MD

Assistant Clinical Professor

Director

General Rehabilitation Unit

UPMC Physical Medicine and Rehabilitation

University of Pittsburgh Medical Center

Pittsburgh

PA

MT declares that she has no competing interests.

同行评议者展开全部内容

Consultant Neuropsychiatrist

Honorary Professor of Neuropsychiatry

University of Edinburgh

Edinburgh

UK

利益声明

AC is treasurer to the Functional Neurological Disorders Society. He is associate editor of the Journal of Neurology, Neurosurgery and Psychiatry, and has contributed to the Scottish Intercollegiate Guidelines Network concussion guidelines. He developed a free-access, not-for-profit self-help website for patients after mild brain injury (http://www.headinjurysymptoms.org). He has received travel and accommodation expenses, but not payments, from professional organisations for speaking at their educational meetings including talks on concussion and brain injury. He gives independent testimony in court on a range of neuropsychiatric topics including brain injury. AC contributed content to a concussion application still in development.

Section Editor, BMJ Best Practice

利益声明

HDC declares that she has no competing interests.

Head of Editorial, BMJ Best Practice

利益声明

AE declares that she has no competing interests.

Lead Section Editor, BMJ Best Practice

利益声明

RW declares that she has no competing interests.

Comorbidities Editor, BMJ Best Practice

利益声明

JC declares that she has no competing interests.

Drug Editor, BMJ Best Practice

利益声明

AM declares that he has no competing interests.

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