[Repeated closed craniocerebral trauma].

Abstract

As many as 446 patients with repeated craniocerebral injury and 386 patients with primary injury, analogous in respect of severity, were subjected to clinical and physiological examinations. On comparison of the results of examining the above two patients' groups it has been revealed that repeated brain injury may be characterized by its own features and runs a graver course as compared to primary injury. This manifests by more pronounced and persistent general cerebral and focal symptoms, disorders of the dynamics of the CSF toward hypotension, vegetative disorders in the form of lability and asymmetry of arterial pressure, thermal asymmetry, prolongation of the time of the thermoregulation vascular reflex and resolution of the blister according to the McClure-Aldrich test, and so forth. According to the therapeutic indications, 204 patients with repeated injury underwent pneumoencephalography. Manifest alterations in CSF-containing spaces, the intensity of which depended on the number of injuries, were revealed in 90.2% of them early after the injury. A special complex of pathogenetic therapy provided to 212 patients with repeated injury allowed attaining more favourable results as compared to 234 analogous patients who received routine treatment.