最近审阅: 28 十月 2020
最近更新: 29 三月 2018

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

需考虑的检查

  • 头部 MRI
  • 功能性 MRI (fMRI)
更多 需考虑的检查

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
更多 新兴检查

治疗流程

急性处理

撰稿人

Luke C. Henry

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.

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.

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.

同行评议者展开全部内容

Professor and Consultant

Department of Neurosurgery

Ulleval University Hospital

Oslo

Norway

利益声明

EH declares that he has no competing interests.

Director of Athletic Medicine

Princeton University

Princeton

NJ

利益声明

MP is an author of a reference cited in this monograph.

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