Neuropsychiatric symptoms for combined craniofacial trauma

In the acute phase of combined craniofacial injuries were examined 82 patients, including 37 patients with lesions or rather face zone (group 1) and 45 with damage to the midface (group 2). In all cases of injury of the maxillofacial area combined with mild traumatic brain injury. Neurological manifestations in 34,1% of cases were characterized by lack of cranial innervation. Pyramidal insufficiency symptoms were observed in 36,5% of cases. In 32% of cases were identified koordinatornyh light violations. In most cases, acute trauma maxillofacial area were marked autonomic manifestations as diffuse or distal hyperhidrosis akrogipotermii, labile blood pressure, palpitations, total heat, paresthesias in the extremities. Since autonomic dysfunction in patients of group 1 was detected in 31 (83,6%) cases in group 2 in 39 (86,7%) cases. The number of signs of autonomic dysfunction per patient averaged in group 1 - 3,5 ± 0,5 us.ed., in group 2 - 3,9 ± 0,6 us.ed. control group of 1,9 ± 0,4 us.ed. The results allowed to note a large number ofpatients with depressive symptoms in both groups. Examined possible hidden levels of anxiety, depression, fatigue in patients after trauma maxillofacial region. In this connection, used Hamilton scale and Beck. To determine the reactive and personal anxiety scale was used Spielberger Charles D. Along with the resulting combined trauma of the facial skeleton and brain injury fatigue phenomena wore similar character. The study showed that craniofacial trauma launches mechanisms leading to dysfunction in psychophysiological field after an injury in the form of increased levels of anxiety and fatigue.

craniofacial trauma, fatigue, depression