ABSTRACT
Analysis of significant correlations between clinical and neuropsychological symptoms in 104 young patients with no anamnesis load, made in the acute period of brain concussion (BC), has demonstrated that the intensity of clinical symptoms correlates with the grade of disorders of higher mental functions (HMF). Besides, significant correlations were discovered between neuropsychological symptoms of brain stem injury and disorders of energy supply to HMF as well as between clinical symptoms of the involvement of the limbic-diencephalic structures and disorders of arbitrary control and emotional disturbances which are determined by the involvement into the pathological process of the anterior parts of the right and left cerebral hemisphere. The dynamic of clinical and neuropsychological symptoms after BC lies in the regression of disorders of stem nonspecific system, diencephalic and limbic structure functions. Toward the end of the acute period the structure of the neuropsychological syndrome is determined by disorders of arbitrary regulation of HMF, which are associated with dysfunction of the mediobasal parts of the frontal lobes, largely of the left hemisphere.
Subject(s)
Brain Concussion/diagnosis , Acute Disease , Adult , Brain Concussion/psychology , Electroencephalography , Female , Higher Nervous Activity , Humans , Male , Neuropsychology , Time FactorsABSTRACT
Twenty-five patients were subjected to surgical ablations of contused or crushed polar-basal regions of frontal lobes. Two groups were singled out: 1, compensated; and 2, subcompensated. "Lobar syndrome" which includes motor disorders and impaired psychic selectivity, planning, regulation and control of psychic activity and behavior, was to a several extent characteristic of all the patients. Posttraumatic disorders were compensated in group 1 due to a lack in complications and high intellectual level of the patients, both allowing to compensate the disorders in voluntary regulation of psychic activity and behavior.
