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Management of mild traumatic brain injury
Practical Neurology ( IF 2.4 ) Pub Date : 2020-04-09 , DOI: 10.1136/practneurol-2018-002087
Anne van Gils 1 , Jon Stone 2, 3 , Killian Welch 2, 4 , Louise R Davidson 2 , Dean Kerslake 5 , Dave Caesar 5 , Laura McWhirter 3 , Alan Carson 3, 4, 6
Affiliation  

Mild traumatic brain injury (TBI) is common and associated with a range of diffuse, non-specific symptoms including headache, nausea, dizziness, fatigue, hypersomnolence, attentional difficulties, photosensitivity and phonosensitivity, irritability and depersonalisation. Although these symptoms usually resolve within 3 months, 5%–15% of patients are left with chronic symptoms. We argue that simply labelling such symptoms as ‘postconcussional’ is of little benefit to patients. Instead, we suggest that detailed assessment, including investigation, both of the severity of the ‘mild’ injury and of the individual symptom syndromes, should be used to tailor a rehabilitative approach to symptoms. To complement such an approach, we have developed a self-help website for patients with mild TBI, based on neurorehabilitative and cognitive behavioural therapy principles, offering information, tips and tools to guide recovery: www.headinjurysymptoms.org.

中文翻译:

轻度创伤性脑损伤的处理

轻度创伤性脑损伤 (TBI) 很常见,并伴有一系列弥漫性、非特异性症状,包括头痛、恶心、头晕、疲劳、嗜睡、注意力困难、光敏性和声音敏感、易怒和人格解体。尽管这些症状通常会在 3 个月内消退,但仍有 5%–15% 的患者会留下慢性症状。我们认为,简单地将此类症状标记为“脑震荡后”对患者几乎没有好处。相反,我们建议对“轻度”损伤的严重程度和个体症状综合征进行详细评估,包括调查,以针对症状量身定制康复方法。为了补充这种方法,我们为轻度 TBI 患者开发了一个自助网站,
更新日期:2020-04-09
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