O.N. Zaitsev, T.A, Dobrokhotova, G.G. Shaginyan, S.V, Urakov, I.N. Fisenko

Burdenko Research Institute of Neurosurgery

Data of psychopathologic examination of 67 survivors (alive during a period of more than 2 months) made it possible to reveal the peculiarities typical of GCCW:

  1. a high rate of cases with a short period of impaired consciousness (less than a week in almost a half of them, absence in 5 patients); coma was either absent or lasted less than a day in a half of observations (52%) and its duration of more than 7 days was watched in 5 patients (<8%);
  2. a high probability (41%) of a period of clear consciousness preceding its severe inhibition;
  3. rarity of productive forms of consciousness disturbances: it was possible to speak of consciousness dullness only in 6 cases (9%); its structure was amorphous and did not fall under any known type of consciousness dullness;
  4. early manifestations of focal psychopathologic signs: impaired speech (40% of cases), Korsakoff’s syndrome (27%), unilateral spatial agnosia (24%), marked emotional and personality disturbances (57%);
  5. predominance of cases with moderate reduction of intellect and memory and mild emotional and personality disturbances in acute and remote periods;
  6. a high risk of developing paroxysmal disturbances in a remote period; they were diagnosed in 29% of cases a year after trauma;
  7. correspondence between a psychopathologic picture and localization of the brain injury in the absence of signs of left-handedness or pyo-inflammatory intracranial complications;
  8. high percentage of satisfactory or relatively satisfactory outcomes at the end of the first year after trauma; working ability was restored in 64% of patients;
  9. unfavourable outcomes in injuries of median structures of the brain or development of pyo-inflammatory intracranial complications.