Zusammenfassung
Durch bildgebende Verfahren kann die morphologische Diagnose von traumatischen Substanzschädigungen des Großhirns in vivo ohne invasive Diagnostik getroffen werden, sofern die Untersuchung zu einem geeigneten Zeitpunkt erfolgt. Nicht jedes Kopftrauma führt zu andauernden Beschwerden und Funktionsstörungen. Da viele Unfälle entschädigungspflichtig sind, kann die Symptomatik durch nichtmedizinische Faktoren beeinflusst werden. Gute Behandlungsmöglichkeiten bestehen bei epi- und subduralen Hämatomen, während die schweren, multilokulären, intrazerebralen Kontusionen, v. a. die traumatischen Hirnstammläsionen, trotz der Fortschritte in der Akutversorgung am Unfallort und des schnellen Transports in ein Traumazentrum noch immer eine schlechte Prognose haben.
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Unterberg, A., Kiening, K.L. (2016). Schädel- und Hirntraumen. In: Hacke, W. (eds) Neurologie. Springer-Lehrbuch. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-46892-0_27
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