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Yıl:2011; Cilt: 1; Sayı: 1>> Özet
Psikiyatride Güncel; 2011;1(1):57-62
Adli Psikiyatride Travmatik Beyin Hasarının Değerlendirilmesi
M Özen, D Yeşilbursa
Terme Devlet Hastanesi - Samsun
Travmatik beyin hasarı(TBH) ve olası psikiyatrik sonuçlarıyla ilgili psikiyatri alanında yapılmış çalışma sayısı sınırlıdır. Ancak 90?lı yıllardan
itibaren TBH'nin birçok psikiyatrik değişikliğe neden olabileceği veya psikiyatrik değişiklikleri tetikleyebileceği konusu üzerinde yavaş
yavaş durulmaya başlanmış ve TBH ve Hafif Travmatik Beyin Hasarı (HTBH) ile ilgili çalışmaların sayısı yıldan yıla artmaya başlamıştır.
Bu çalışmalar sonucunda daha sonra herhangi bir duygusal, davranışsal veya kişilerarası sorun yaşayan kişilerin hayatlarının bir döneminde
travmatik beyin hasarına maruz kaldıklarını ve bu durumun özellikle psikiyatri kliniklerinde ve adli muayenelerde ortaya çıktığı belirtilmiş,
birçok davranışsal değişikliklerde frontal lezyonların önemi vurgulanmıştır.
Özellikle adli olgularda psikiyatrik değerlendirme yaparken, TBH'nin sorgulanması ve tanı koyma sürecinde detaylı değerlendirmenin
yapılması, bu anlamda TBH ve HTBH için sınırları belli ve kesin tanımların olması önemlidir.
Bununla birlikte adli psikiyatrik olgularda TBH'nı veya TBH'nın adli sonuçlarını değerlendiren geniş kapsamlı çalışma sayısı oldukça
azdır ve nörologların rutin muayenelerinde TBH'yi tespit etme oranları psikiyatristlerden fazla bulunmuştur. TBH'nin bedensel bozulmalar
yanında bilişsel, algısal, ruhsal ve davranışsal sonuçları olabileceği, bu nedenle tüm değerlendirmelerde olduğu gibi adli psikiyatrik
değerlendirmelerde de nörolojik ve psikiyatrik bulguların bir arada ele alınması gerekir.
Bu gözden geçirme yazısının amacı geri planda kalmış bu alanın önemini vurgulamak ve adli olguların psikiyatrik değerlendirmelerini
daha sağlıklı yapabilmek amacıyla yeni ve geniş kapsamlı çalışma ihtiyacına değinmektir.
Assessment of traumatic brain injury in forensic psychiatry

Traumatic brain injuries (TBI) have been scarcely studied regarding their psychiatric consequences. It was only after 90's that TBI started
to be considered as potentially capable of promoting significant psychiatric alterations and since then, [year] after [year] TBI and Mild
Traumatic Brain Injury (MTBI) has started to be increasingly studied.
In these studies it was mentioned that careful interviews with people who later in lifetime had important emotional, interpersonal and behavioral
problems had identified that they had suffered a mild TBI at some periods of their lives, and this fact was likely to be found in patients examined
in psychiatric clinics or in forensic examinations. Frontal region traumas were accepted to be most important and frequent in such settings.
It's important to have spesific and certain description of TBI and MTBI, during inquiring and diagnostic procedures of TBI, while performing
a psychiatric examination, especially in forensic cases.
On the other hand studies regarding forensic and psychiatric consequences of TBI and MTBI are scarce. In this review we aim to mention
about the importance of this rarely studied area how vital it's to detect the existence of TBI in a forensic psychiatric population before
the occurrence of the wrongs and emphasize the need for detailed studies.

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