小结
定义
病史和体格检查
关键诊断因素
- 存在危险因素
- 直接打击头部或头部受到冲击力减速
其他诊断因素
- 头痛
- 感觉朦胧/迟缓
- 头晕/平衡问题
- 记忆困难
- 呕吐/恶心
- 身体神经系统检查正常
- 神经心理学测试异常
危险因素
- 头部损伤
- 陈旧性颅脑创伤
- 物质滥用
诊断性检查
首要检查
- 头颅 CT
需考虑的检查
- 头部 MRI
- 功能性 MRI (fMRI)
新兴检查
- 头部 PET、单光子发射 CT (SPECT)
- 替代性影像学检查技术
- 解剖学脑影像学检查技术
治疗流程
所有患者
撰稿人
作者
Luke C. Henry, PhD
Instructor of Orthopaedic Surgery
Division of Sports Medicine
University of Pittsburgh Medical Centre for Sports Medicine Concussion Program
Department of Orthopaedic Surgery
University of Pittsburgh
Pittsburgh
PA
利益声明
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
利益声明
MT declares that she has no competing interests.
鸣谢
Dr Luke C. Henry and Dr Maria Twichell would like to gratefully acknowledge Dr Jeffrey Bazarian and Dr Maryse Lassonde, previous contributors to this monograph. JB has been reimbursed by Roche, the manufacturer of an automated assay for serum S-100B, to attend a conference, and has been reimbursed by Banyan Biomarkers and Neuren Pharmaceuticals to help develop their research protocols. JB is also an author of a reference cited in this monograph. ML is an author of several references cited in this monograph.
同行评议者
Eirik Helseth, MD, PhD
Professor and Consultant
Department of Neurosurgery
Ulleval University Hospital
Oslo
Norway
利益声明
EH declares that he has no competing interests.
Margot Putukian, MD
Director of Athletic Medicine
Princeton University
Princeton
NJ
利益声明
MP is an author of a reference cited in this monograph.
鉴别诊断
- 中度/重度创伤性脑损伤
- 抑郁
- 未累及头部的身体一般性外伤或损伤
更多 鉴别诊断指南
- 运动性脑震荡共识声明
- 头部损伤：评估和早期管理
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