Zusammenfassung
Milde Schädel-Hirn-Traumata können sowohl unter therapeutischem als auch unter gutachterlichem
Aspekt erhebliche Probleme aufwerfen. Die traditionelle Auffassung, wonach eine Commotio
cerebri praktisch immer ohne spezifische Therapie ad integrum ausheilt, kann nicht
in jedem Fall aufrecht erhalten werden. Der Autor zeigt die multifaktorielle Genese
dieser Störungsbilder mit den charakteristischen Komplikationsmöglichkeiten auf. Dabei
wird auch der Stellenwert der verschiedenen diagnostischen Verfahren erläutert. Schließlich
wird noch auf neuere Therapieansätze hingewiesen.
Abstract
Mild brain injuries can be a major problem under diagnostic as well as under therapeutic
aspects. The traditional opinion that a postconcussive symptomatology can be expected
to recover in all cases even without specific treatment cannot be upheld. The author
outlines the multifactorial genesis of the sequels to mild brain injuries including
the typical complications. Further, the value of the different diagnostic procedures
will be discussed and conventional and novel therapeutic approaches will be described.
Schlüsselwörter
Mildes Hirntrauma - Diagnostik - Pathogenese - Behandlung
Key words
Mild traumatic brain injury - diagnosis - pathogenesis - treatment
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Leitender Arzt Dr. med. T. Knecht
Psychiatrische Klinik
8596 Münsterlingen
Schweiz
