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Yıl:2008; Cilt: 18; Sayı: 2>> Özet
TAM METİN
Klinik Psikofarmakoloji Bülteni; 2008;18(2):130-139
Psikiyatride Beyin Sarsılması Sonrası Sendromu
DD Erken, İT Okay, N Dilbaz
2. Psikiyatri Kliniği, Ankara Numune Eğitim ve Araştırma Hastanesi, Ankara-Türkiye
Beyin Sarsılması Sonrası Sendromu hafif veya ılımlı kafa travmasından sonra kişide meydana gelen birtakım duyusal, bilişsel, bedensel ve algısal belirtilerden oluşur. Bu sendrom depresif bozukluğa yol açabilmekle birlikte depresif bozukluğun da Beyin Sarsılması Sonrası Sendromu’nun gidişatına, travma sonrası nörobilişsel işlevselliğe olumsuz yönde etkileri olabileceği ve yeti kaybına sebep olabileceği bilinmektedir. Beyin Sarsılması Sonrası Sendromu sonrası hastalar psikiyatristlere çeşitli yakınmalarla başvurabilirler. Bunlar baş ağrısı, uykusuzluk, fibromiyalji gibi bedensel yakınmalardan, mutsuzluk, umutsuzluk, sinirlilik gibi depresyon-anksiyeteye ait belirtilere kadar geniş bir yelpaze içinde olabilmektedir. Bu sendromun birçok psikiyatrik hastalık gibi davranabileceğini göz önünde bulundurmalıdır.
Bu yazıda öncelikle Beyin Sarsılması Sonrası Sendromu’nun epidemiyolojisi, etyolojisi,fizyopatolojisi ve kliniğinden bahsedilecektir. Sonra Beyin Sarsılması Sonrası Sendromu’nda görülebilen depresyonun sıklığı, risk faktörleri ve patogenezinden, depresif duygu durumun varlığının Beyin Sarsılması Sonrası Sendromu’nun gidişatına, psikososyal işlevselliğe, bilişsel fonksiyonlara olan etkileri ve Beyin Sarsılması Sonrası
Sendromu’nun tedavisi ile ilgili olarak günümüzde varolan bilgiler
aktarılmaya çalışılacaktır.
Post-concussional syndrome in psychiatry
Post-concussional syndrome is a group of affective, cognitive, somatic
and sensorial symptoms which occurs after mild or moderate head
injury. It has been known that post-concussional syndrome leads to
depressive disorder. Depressive disorder negatively affects the
prognosis of post-concussional syndrome, neurocognitive functions
and may cause disability. After post-concussional patients may
present various symptoms. These symptoms can change from
somatic complaints like headache, insomnia, fibromyalgia to
psychiatric symptoms due to depressive disorder and anxiety.
Patients’ symptoms can be unhappiness, hopelessness, depressive
mood and anger. It has to be considered that the syndrome may act
like psychatric diseases. In this article firstly properties about postconcussional
syndrome is reviewed in terms of clinic properties,
epidemiology, etiology. Then we mentioned about frequency, risk
factors and pathogenesis of depressive disorder due to postconcussional
syndrome and how depressive disorder effects on the
prognosis, psychosocial, cognitive functions and treatment in postconcussive
patients.

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