[Cerebral disturbances following isolated whiplash injury (author's transl)]. 1981

G Krämer, and H C Hopf

During the last decades, possible sequelae of so-called whiplash-injuries have been intensively explored and described by traumatologists and orthopedists. In regard of the neurological symptoms radicular lesions, impairments of the autonomic nervous system at the neck and spinal cord injuries are well known and accepted. Symptoms of cerebral disturbances (e.g. headache, dizziness, disability of concentrating, abnormal irritability and fatigability) often still are considered as "psychoneurotic". In contrast to this opinion, some experimental and clinical neurophysiological research has shown in the meantime, that there may be cerebral damage even in the presence of a normal clinical examination. At first we want to give a review of this findings, then we derive as a consequence for the clinical practice, that in the future all patients should not only be examined neurologically, but the following investigations should also be done: electroencephalography (EEG), otorhinolaryngological examination (with caloric testing of the labyrinth function) and if possible electronystagmography (ENG) and auditory evoked brainstem potentials (AEP).

UI MeSH Term Description Entries
D001930 Brain Injuries Acute and chronic (see also BRAIN INJURIES, CHRONIC) injuries to the brain, including the cerebral hemispheres, CEREBELLUM, and BRAIN STEM. Clinical manifestations depend on the nature of injury. Diffuse trauma to the brain is frequently associated with DIFFUSE AXONAL INJURY or COMA, POST-TRAUMATIC. Localized injuries may be associated with NEUROBEHAVIORAL MANIFESTATIONS; HEMIPARESIS, or other focal neurologic deficits. Brain Lacerations,Acute Brain Injuries,Brain Injuries, Acute,Brain Injuries, Focal,Focal Brain Injuries,Injuries, Acute Brain,Injuries, Brain,Acute Brain Injury,Brain Injury,Brain Injury, Acute,Brain Injury, Focal,Brain Laceration,Focal Brain Injury,Injuries, Focal Brain,Injury, Acute Brain,Injury, Brain,Injury, Focal Brain,Laceration, Brain,Lacerations, Brain
D004569 Electroencephalography Recording of electric currents developed in the brain by means of electrodes applied to the scalp, to the surface of the brain, or placed within the substance of the brain. EEG,Electroencephalogram,Electroencephalograms
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013997 Time Factors Elements of limited time intervals, contributing to particular results or situations. Time Series,Factor, Time,Time Factor
D014911 Whiplash Injuries Hyperextension injury to the neck, often the result of being struck from behind by a fast-moving vehicle, in an automobile accident. (From Segen, The Dictionary of Modern Medicine, 1992) Injuries, Whiplash,Injury, Whiplash,Whiplash Injury

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