Background

Gait impairment is common after concussion. “Dizziness” is associated with prolonged recovery after concussion. Most often each of these symptoms is considered to be of vestibular origin. However, whether or not there are psychological etiologies of gait instability that complicate concussion recovery has been less fully explored.

Methods

A chart review was performed of all patients seen between 2017 and 2019 in a weekly pediatric traumatic brain injury clinic.

Results

Of eighty-four patients with traumatic brain injury, five were found to have developed a classic psychogenic gait. All were adolescents at the time of diagnosis. Recognition of this complication led to modification/initiation of physical therapy and/or mental health intervention and eventual resolution for all patients.

Conclusion

Although uncommon, psychogenic gait disorders may complicate concussion recovery in adolescents likely at a higher rate than their occurrence in the general population. This association has not been previously reported. Accurate diagnosis of psychogenic gait likely improves outcomes in this subset of patients with concussion.

中文翻译：

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脑震荡性步态障碍使脑震荡后的恢复复杂化：一个案例系列。

背景

脑震荡后步态障碍很常见。“头晕”与脑震荡后恢复时间长有关。通常，这些症状中的每一个都被认为是前庭起源的。然而，是否有使步态恢复复杂化的步态不稳的心理病因尚未得到充分研究。

方法

每周在儿科创伤性脑损伤诊所对2017年至2019年之间发现的所有患者进行图表审查。

结果

在八十四名脑外伤患者中，有五名被发现具有典型的心理步态。诊断时均为青少年。对这种并发症的认识导致对所有患者的物理治疗和/或精神健康干预的修改/开始，并最终得到解决。

结论

尽管不常见，但心理性步态障碍可能会使青少年的脑震荡恢复复杂化，其发生率可能比其在普通人群中的发生率高。以前没有此关联的报告。准确诊断心因性步态可能会改善脑震荡患者的这一结局。