[The nonspecific brain systems in the sequelae of craniocerebral trauma of moderate severity]

Overall 35 patients (20 men and 15 women aged 16 to 50 years) with consequences of craniocerebral injury of medium gravity (CCI) were examined. The standing of CCI was from 1.5 months to 6 years. On neurological examination the majority of the patients manifested non-gross organic brain deficiency and permanent symptoms of vegetative dysfunction. In 16 patients, the leading clinical syndrome was headache, in 9 vegetative dystonia, in 6 vestibulocochlear disturbances, in 3 asthenic syndrome, in 1 impairment of oculomotor innervation. In the posttraumatic period, 3 persons demonstrated complete social adaptation, 8 relative, 17 insufficient, and 7 dramatically impaired adaptation. Psychophysiological examination of the patients with consequences of CCI revealed a psychovegetative syndrome reflecting dysfunction of the nonspecific brain systems. The cardinal traits of the given syndrome are: excessive vegetative supply, derangement of the normal correlation between the desynchronizing and synchronizing brain systems in different functional conditions of daily consciousness, mental activation. In the long-term period of CCI, the risk factors, in terms of insufficient and dramatically impaired adaptation, are as follows: well-defined organic brain deficiency, premorbid personality deviations, actual psychogenias, a high level of situational and personality anxiety.