With the rapidly increasing number of motor vehicle accidents, the incidence of craniocerebral trauma has also increased.
Brain compression
Compression is the consequence of increased intracranial constriction resulting from cerebral oedema, intracerebral haemorrhage and supratentorial or subdural haematoma. Symptoms of the compression include bradycardia, pupillary irregularity and impaired consciousness, usually in the form of delirium, confusional and tangled sats. Occasionally, acute psychosis occurs.
Post-traumatic dementia
More or less severe symptoms of dementia and personality disorders are found with cortical atrophy mainly of the frontal lobe. If the trauma-induced lesions affect the basal lobe, patients show features of disinhibition of drives, experience increased appetite, reduced higher emotionality and talkativeness mainly about sexual topics.
In medial frontal lobe traumatic lesions, patients are psychomotorly slowed down, lack spontaneity, and abstract and cause-and-effect thinking is impaired.
Amnestic syndrome
Following traumatic brain injury, both short- and long-term memory impairment may occur. Memory gaps by patients are often filled with confabulations. Disturbances of thinking, impaired judgement and other disturbances of higher cortical functions, together with personality problems, are not observed characteristic of dementia.
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Post-traumatic neuroses
Due to the experience of severe stress, both psychological and physical, victims may develop neurotic-anxiety symptoms related to the nature of the accident, during which the patient experiences sudden anxiety in situations similar to the circumstances of the accident. Such a condition is referred to as post-traumatic stress syndrome.
Sometimes, in spite of the absence of somatic sequelae, neurasthenic symptoms persist for many weeks, with a reduction in mental and physical performance and a sense of harm. Sometimes some of these people fall into alcoholism or drug addiction. In addition to chronic post-traumatic stress disorder, depressive neurosis is also quite common. Usually, patients have lost someone close to them in addition to damage to their health, have suffered great material losses or are threatened with permanent disability.