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https://doi.org/10.14300/mnnc.2024.19030

Features of formation of psychophysiological disorders in mine explosion injury

[Neurology]
Sergei Karpov; Aza Beslanovna Barkinkhoeva; Irina Vishlova; Olga Aleksandrovna Soboleva; Ioannis Azoidis; Mochamed Akhtarudzhaman; Dmitry Anatolyevich Iskra;

The article discusses issues related to cognitive impairment in patients who have suffered mine blast trauma (MBT). The main group comprised 61 patients (58 men and three women). The average age was 45.5±4.7 years. The patients were divided into two groups: the first group – 31 (50.8 %) patients with a history of isolated traumatic brain injury (TBI) of mild to moderate severity; the second group – 30 (49.2 %) patients with a combination of mild and moderate TBI with somatic complications (amputation of the lower limb at different levels). The control group consisted of 30 healthy individuals. In the main group, sharply reduced levels of cognitive wave amplitude were noted. This was based on the difficulty in perceiving and processing incoming signals. As a result of the study, it can be argued that after MBT, patients perceive complex external perceptual events, objects, and phenomena worse. At the same time, there was a decrease in the communicative activity of patients with the onset of depression, which, in terms of level and severity, dominated in patients of the second group due to limited movement and difficulties in self-care.

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Keywords: mine blast injury, traumatic brain injury, cognitive impairment, evoked potentials