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Yıl:2017; Cilt: 18; Sayı: Ek 1>> Özet
TAM METİN
Anadolu Psikiyatri Dergisi; 2017;18(Ek 1):19-22
Travmatik beyin yaralanmasına bağlı nörobilişsel bozukluk ve depresyon: Bir olgu sunumu
İ Yağcı, Y Kıvrak
Kars Harakani Devlet Hastanesi, Kars
Travmatik beyin yaralanması (TBY), fiziksel, bilişsel ve ruhsal-toplumsal işlevlerde bozulma ile sonlanan bir yaralanmadır. Baş ağrısı, bilinç kaybı, bulantı, motor ve bilişsel etkilenmeler yanında depresyon, duygusal ve davranışsal değişiklikler yaygın olarak görülmektedir. Bu hastalarda öğrenme, anlama, iletişim, hareket, günlük aktiviteler, kişisel bakım, toplumsal davranışlar gibi günlük rutin aktiviteleri içeren fiziksel ve zihinsel işlevler etkilenmektedir. Ortaya çıkan bulgular, yaralanma şiddeti ve kişilik özelliklerine göre değişiklik göstermektedir. Olgumuzun kaza öncesi işlevselliği iyi olup, travma sonrasında entelektüel işlevlerinde bozulma, kişilik değişiklikleri olması nedeni ile travmatik beyin yaralanmasına bağlı yeğin nörobilişsel bozukluğun eşlik ettiği depresyon olduğu düşünüldü. Biz TBY ve depresyon birlikteliği olan, klinisyenler tarafından sonradan depresif bozukluğun fark edildiği ve depresyonun tanı ve tedavisi ile işlevselliğinde düzelme olan hastayı sunmayı amaçladık.
Neurocognitive disorder due to traumatic brain injury and depression: A case report
Traumatic brain injury (TBI) is an injury that results in physical, cognitive and psychosocial dysfunctions. Depression, behavioral and emotional changes are usually present as well as other typical symptoms such as headache, loss of consciousness, nausea, motor and cognitive impairments. Physical and mental conditions including learning, the ability to understand and communicate, movement skills and maintaining daily activities, self-care and social behaviors are usually affected in these patients. These symptoms may vary in accordance with the severity of the injury or due to personal changes. Our case was reported to have a good functionality before the accident, and showed personality changes and impairment in intellectual functions, therefore depression with neurocognitive impairment due to traumatic brain injury seemed to be the most possible diagnosis. In this study, we aimed to present a case of traumatic brain injury with concurrent depression and improvements in patient’s functionality after successful diagnosis and treatment processes.In this study, we aimed to present a case of traumatic brain injury with concurrent depression and improvements in patient’s functionality after successful diagnosis and treatment processes.

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