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Clinical and neurophysiological features of different in structure combined traumas

[Neurology]
Evgenia Olegovna Nazarova; Sergei Karpov; Arthur Eduardovich Apaguni; Aleksey Karpov; Sergey Vyacheslavovich Krokhmal´;

The study included 102 patients with a combination of brain concussion (BC) and skeletal and thoracic injuries. The control group, 32 patients with isolated BC, was included. Neuropsychological testing and neurophysiological studies of EEG, HRV and P300 were performed. Depressive and asthenic disorders were revealed in the vast majority of patients with combined trauma. Cognitive decline was more marked in patients with thoracic combined trauma. The asymmetry of cortical activity of the brain prevailed in patients with the combined pelvicinjury. And vegetative regulation was characterized by the prevalence of parasympathetic influence against the background of increased sympathetic reactivity throughout the acute period. Thus, due to the difference in the mechanisms of «mutual burdening», the structures of the clinical course and specific neurophysiological characteristics differ in their structure.

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Keywords: combined trauma, vegetative regulation, mutual burdening syndrome


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