[Late consequences of cranio-cerebral traumas in light of clinical, psychologic and computerized tomography...

The paper presents remote consequences of cranio-cerebral traumas in a selected group of 62 patients with a varying degree of severity. Neurological, psychological consequences as well as changes in morphology of brain tissues have been taken into consideration. The aim of the paper was to evaluate the neurologic--psychological state, and to perform analyses covering the morphological changes of encephalon in remote (3 months--3 years) period after the cranio-cerebral trauma, and also to study the interdependences between the severity of injury on the one hand, and the clinical--psychological status as CT scan of the head in the late period, on the other. Disability features ware disclosed in a total of 39% of the examined subjects. Diminution of general mental capability was recorded in 43% of persons studied. There were changes in remote CT scanning in 81% of cases, whereas internal hydrocephalus was disclosed in 47% of the examined subjects. A high degree of interdependence was found to exist between the severity of cranio-cerebral trauma, the remote result of therapy and the changes in brain tissues morphology. Definitely the poorest therapeutic result was observed in individuals with post-traumatic internal hydrocephalus. Wide applicability of Bander's organic test was shown for evaluating the character of late psychic consequences in subjects in the remote period after cranio-cerebral trauma. In the overwhelming part of cases, the observed neurologic-psychological disturbances could be related to changes in brain morphology revealed by CT scanning.