Síndrome Pós-concussional, Reação Aguda a Estresse e Transtorno de Estresse Póstraumático
Diferenciação Diagnóstica após Acidentes com Veículos Automotores
DOI:
https://doi.org/10.34024/rnc.2000.v8.8953Palavras-chave:
Síndrome pós-concussional, reação aguda a estresse, transtorno de estresse pós-traumático, diagnóstico, diagnóstico diferencialResumo
Os autores abordam as dificuldades encontradas para estabelecer um diagnóstico diferencial entre os sintomas da síndrome pósconcussional e os sintomas de reação aguda a estresse e a transtorno de estresse póstraumático ocorridos após acidentes automobilísticos. Além de evidenciarem como os sintomas dessas síndromes ou transtornos assemelham-se e poucos são distintivos pelos critérios diagnósticos da CID-10, do histórico e dos exames laboratoriais que podem ser solicitados, apresentam um caso clínico em que esses sintomas mostram-se misturados, dificultando o discernimento clínico. Os resultados são discutidos e comentados de acordo com bibliografia internacional compulsada junto ao MEDLINE entre 1990 e 1999.
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Parker RS. Traumatic brain injury and neuropsychological impairment: sensorimotor, cognitive, emotional, and adaptive problems of children and adults. New York, Springer-Verlag, 1990, 452 p.
Brown S, Fann J, Grant I. Postconcussional disorder: time to acknowledge a common source of neurobehavioral morbidity. J Neuropsychiatry Clin Neurosci, 6:15-22, 1994.
Alexander M. Mild traumatic brain injury: pathophysiology, natural history, and clinical management. Neurology, 45: 1253-60, 1995.
Parker RS. The spectrum of emotional distress and personality changes after minor head injury incorred in a motor vehicle accidente. Brain-Inj, 10(4):287-302, 1996.
Parker RS, Rosenblum A. IQ loss and emotional dysfunctions after mild head injury incurred in a motor vehicle accident. J Clin Psychol, 52:32-43, 1996.
Anderson M. Postconcussional disorder and loss of consciousness. Bull Am Acad Psychiatry Law, 24:493-504, 1996.
Brukner P. Concussion. Aust Fam Physician, 25(9):1445-8, 1996.
Mittenberg W, Wittner M, Miller L. Postconcussion syndrome occurs in children. Neuropsychology, 11:447-52, 1997.
Strebel S, Lam AM, Matta BF. Impaired cerebral autoregulation after mild brain injury. Surg Neurol, 47(2):128 31, 1997.
Kushner D. Mild traumatic brain injury: toward understanding manifestations and treatment. Arch Intern Med, 158(15): 1617-24, 1998.
Brooks J, Fos LA, Greve KW. Assessment of executive function in patients with mild traumatic brain injury. J Trauma, 46(1):159-63, 1999.
Kush K, Cox BJ, Evans RJ. Posttraumatic stress disorder and motor vehicle accidents: a multidisciplinary overview. Can J Psychiatry, 41(7):429-434, 1996.
Bryant RA, Harvey AG. Acute stress response: a comparison of head injured and non-head injured patients. Psychol Med, 25(4):869-74, 1995.
Bryant RA, Harvey AG. Acute stress disorder after mild traumatic brain injury. J Nerv Ment Dis, 186 (6):333-37, 1998.
Crespo de Souza CA, Mattos P. As dificuldades para diagnosticar a síndrome pós-concussional. Rev Bras Neurol, 35(6):167-72, 1999.
Epstein RS, Ursano RJ. Anxiety disorders. In: Silver J, Yudofsky S, Hales R (eds.). Neuropsychiatry of traumatic brain injury. Washington-London, American Psychiatric Press, 1994, p. 285-311.
Bryant RA, Harvey AG. The relationship between acute stress disorder and posttraumatic stress disorder following mild traumatic brain injury. Am J Psychiatry, 155(5):625- 29, 1998.
McClelland RJ. The postconcussional syndrome: a rose by any other name. J Psychosom Res, 40:563-8, 1996.
Crespo de Souza CA, Mattos P. Traumatismos cranianos fechados: implicações neuropsiquiátricas e clínicas. J Bras Psiq, 48(7):325-31, 1999.
Warden DL, Labbate, LA, Salazar, AM et al. Posttraumatic stress disorder in patients with traumatic brain injury and amnesia for the event? J Neuropsychiatry Clin Neurosc, 9:18-22, 1997.
Classificação de Transtornos Mentais e de Comportamento da CID-10 – Descrições Clínicas e Diretrizes Diagnósticas – Coord. Organiz. Mund. da Saúde; trad. Dorgival Caetano – Porto Alegre, Artes Médicas, 1993.
Bijur PE, Haslum M, Golding J. Cognitive outcomes of multiple mild head injuries in children. J Dev Behav Pediatr, 17:183-5, 1996.
Kelly JP, Rosenberg JH. Diagnosis and management of concussion in sports. Neurology, 48:575-80, 1997.
Kraus J, Sorenson S. Epidemiology of traumatic brain injury. In: Silver J, Yudofsky S, Hales R (eds.). Neuropsychiatry of traumatic brain injury. Washington-London, American Psychiatric Press, 1994, p. 3-41.
Silver JM, McAllister TW. Forensic issues in the neuropsychiatric evaluation of the patient with traumatic brain injury. J Neuropsych and Clin Neurosciences, 9:102-13, 1997.
Bryant RA, Harvey, AG. Processing threatening information in posttraumatic stress disorder. J Abnorm Psychol, 104(3):537-41, 1995.
Bryant RA, Harvey AG. The influence of posttraumatic stress disorder on acute stress disorder and posttraumatic stress disorder following motor vehicle accidents. Brain Inj, 13:15-22, 1999.
Bryant RA, Harvey AG. Postconcusive symptoms and posttraumatic stress disorder after mild traumatic brain injury. J Nerv Ment Dis, 187(5):302- 305, 1999.
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Publicado: 2000-03-31
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