Posttraumatic movement disorders after moderate or mild head injury
Identifieur interne : 005284 ( Main/Exploration ); précédent : 005283; suivant : 005285Posttraumatic movement disorders after moderate or mild head injury
Auteurs : Krauss [Allemagne, Suisse] ; Rolf Tr Nkle [Allemagne] ; Karl-Heinz Kopp [Allemagne]Source :
- Movement Disorders [ 0885-3185 ] ; 1997-05.
Descripteurs français
- Wicri :
- topic : Traumatisme.
English descriptors
- KwdEn :
- MESH :
- complications : Craniocerebral Trauma.
- diagnosis : Movement Disorders.
- etiology : Movement Disorders.
- Adolescent, Adult, Aged, Child, Child, Preschool, Female, Humans, Infant, Male, Middle Aged, Severity of Illness Index.
Abstract
We examined the occurrence of posttraumatic movement disorders after moderate or mild head injury with a three‐level follow‐up study including questionnaires, telephone interviews, and personal examinations 4–6 years after the trauma (mean 5.2 years). Sixteen of 158 patients (10.1%) for whom a detailed follow‐up was available had developed movement disorders most probably related to craniocerebral trauma. The most frequent finding was a low‐amplitude postural/intention tremor that appeared to resemble enhanced physiological or essential tremor. Twelve patients reported transient tremor, two patients had persistent tremor, one patient had transient tremor and persistent hyperekplexia, and another patient had mild persistent cervical myoclonic twitches. Overall, the movement disorder was transient in 12 patients (7.6%) and persisted in only 4 patients (2.6%). These movement disorders were not disabling and did not require medical therapy. Taking into account possible bias by selection of the sample group, the frequency of movement disorders secondary to moderate or mild head trauma might be lower than 10.1%. Posttraumatic movement disorders occurred significantly more often in the group of patients with Glasgow Coma Scores between 9 and 14 than in those with a score of 15. Severe movement disorders such as low‐frequency kinetic tremor or hemidystonia were not identified in this survey.
Url:
DOI: 10.1002/mds.870120326
Affiliations:
- Allemagne, Suisse
- Bade-Wurtemberg, Canton de Berne, District de Fribourg-en-Brisgau
- Berne, Fribourg-en-Brisgau
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Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="1997-05">1997-05</date><biblScope unit="vol">12</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="428">428</biblScope><biblScope unit="page" to="431">431</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">DD212079B8D08870A0066BF5901B2C8EF45ED0FB</idno><idno type="DOI">10.1002/mds.870120326</idno><idno type="ArticleID">MDS870120326</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Child</term><term>Child, Preschool</term><term>Craniocerebral Trauma (complications)</term><term>Female</term><term>Head injury</term><term>Humans</term><term>Infant</term><term>Male</term><term>Middle Aged</term><term>Movement Disorders (diagnosis)</term><term>Movement Disorders (etiology)</term><term>Movement disorder</term><term>Severity of Illness Index</term><term>Trauma</term><term>Tremor</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Craniocerebral Trauma</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Movement Disorders</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Movement Disorders</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Child</term><term>Child, Preschool</term><term>Female</term><term>Humans</term><term>Infant</term><term>Male</term><term>Middle Aged</term><term>Severity of Illness Index</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Traumatisme</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">We examined the occurrence of posttraumatic movement disorders after moderate or mild head injury with a three‐level follow‐up study including questionnaires, telephone interviews, and personal examinations 4–6 years after the trauma (mean 5.2 years). Sixteen of 158 patients (10.1%) for whom a detailed follow‐up was available had developed movement disorders most probably related to craniocerebral trauma. The most frequent finding was a low‐amplitude postural/intention tremor that appeared to resemble enhanced physiological or essential tremor. Twelve patients reported transient tremor, two patients had persistent tremor, one patient had transient tremor and persistent hyperekplexia, and another patient had mild persistent cervical myoclonic twitches. Overall, the movement disorder was transient in 12 patients (7.6%) and persisted in only 4 patients (2.6%). These movement disorders were not disabling and did not require medical therapy. Taking into account possible bias by selection of the sample group, the frequency of movement disorders secondary to moderate or mild head trauma might be lower than 10.1%. Posttraumatic movement disorders occurred significantly more often in the group of patients with Glasgow Coma Scores between 9 and 14 than in those with a score of 15. Severe movement disorders such as low‐frequency kinetic tremor or hemidystonia were not identified in this survey.</div></front></TEI><affiliations><list><country><li>Allemagne</li><li>Suisse</li></country><region><li>Bade-Wurtemberg</li><li>Canton de Berne</li><li>District de Fribourg-en-Brisgau</li></region><settlement><li>Berne</li><li>Fribourg-en-Brisgau</li></settlement></list><tree><country name="Allemagne"><region name="Bade-Wurtemberg"><name sortKey="Krauss" sort="Krauss" uniqKey="Krauss" last="Krauss">Krauss</name></region><name sortKey="Kopp, Karl Einz" sort="Kopp, Karl Einz" uniqKey="Kopp K" first="Karl-Heinz" last="Kopp">Karl-Heinz Kopp</name><name sortKey="Tr Nkle, Rolf" sort="Tr Nkle, Rolf" uniqKey="Tr Nkle R" first="Rolf" last="Tr Nkle">Rolf Tr Nkle</name></country><country name="Suisse"><region name="Canton de Berne"><name sortKey="Krauss" sort="Krauss" uniqKey="Krauss" last="Krauss">Krauss</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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