[Clinical, pathophysiological and morphological features of closed craniocerebral trauma in combatants]

We studied clinicodynamic features of neuropsychic disorders resultant from a combat craniocerebral trauma (CCT) in patients of Nizhny Novgorod Regional Neurological Hospital for War Veterans (n = 420). The patients were divided into three groups: with mild, moderate and severe traumas. All the patients were examined clinically and clinicophysiologically (electroencephalography, computer tomography, electrocardiography, ultrasound and X-ray investigations). Experimental-psychological tests and questionnaire survey were alsom conducted. 200 patients had been followed up for 3-7 years. Impairment of brain stem structures and vascular factor play a key role in development of psychopathological disorders of primary asthenic and neurosis-like spectrum. Local lesion of the brain in severe CCT leads to predominant manifestations of the psychoorganic syndrome in milder symptoms of poststress disorders.