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Langzeitfolgen des HWS-Schleudertraumas

Neue Aspekte der funktionellen Bildgebung

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Beschleunigungsverletzung der Halswirbelsäule

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Patienten mit andauernden Symptomen nach einer Schleudertraumaverletzung (dem so genannten Late-Whiplash-Syndrom) werden oft alleine gelasse.. Ihre Beschwerden beschränken sich jedoch nicht nur auf neuropathische Schmerzen in der Kopf- und Nackenregion, sondern manche Symptome gehen vom Gehirn aus. Zu diesen Gehirn-Symptomen gehören Schwindel, Benommenheit, Tinnitus, Störungen der Konzentration, der Aufmerksamkeit und des Gedächtnisses. Auch Augensymptome wie Flimmersehen oder Verschwommensehen können auftreten.

Für die Übersetzung des Beitrags danken wir Frau Helga Roth

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Literatur

  • Alexander MP (1998) In the pursuit of proof of brain damage after whiplash injury. Neurology 51:336–340

    CAS  PubMed  Google Scholar 

  • Bicik I, Radanov BP, Schäfer N, Dvorak J, Blum B, Weber B, Burger C, von Schulthess GK, Buck A (1998) PET with 18fluorodeoxyglucose and hexamethylpropylene amine SPECT in late whiplash syndrome. Neurology 51:345–350

    CAS  PubMed  Google Scholar 

  • Buck A (1999) PET with 18fluorodexyglucose and hexamethylpropylene amine oxime SPECT in late whiplash syndrome. Neurology 52:1108

    Google Scholar 

  • Costa DC, Tannock C, Brostoff J (1995) Brainstem perfusion is impaired in chronic fatigue syndrome. QJM 88:767–773

    CAS  PubMed  Google Scholar 

  • Croft AC (2001) Epidemiology of whiplash. In: Croft AC (ed) Understanding low speed rear impact collisions (LOSRIC). Spine Research Institute of San Diego, San Diego

    Google Scholar 

  • Evans RW (1992) Some observations on whiplash injuries. Neurol Clin 10:975–997

    CAS  PubMed  Google Scholar 

  • Freitag P, Greenlee MW, Wachter K, Ettlin TM, Radue EW (2001) fMRI response during visual motion stimulation in patients with late whiplash syndrome. Neurorehabil Neural Repair 15:31–37

    Article  CAS  PubMed  Google Scholar 

  • Friston KJ, Frith CD, Liddle PF, Frackowiak RSJ (1991) Comparing functional (PET) images: the assessment of significant change. J Cereb Blood Flow Metab 11:690–699

    CAS  PubMed  Google Scholar 

  • Friston KJ, Holmes AP, Worsley KJ, Poline JB, Frith CD, Frackowiak RSJ (1995) Statistical parametric maps in functional imaging: a general approach. Hum Brain Mapping 2:189–210

    Article  Google Scholar 

  • Friston KJ, Ashburner J, Poline JB, Frith CD, Heather JD, Frackowiak RSJ (1995) Spatial realignment and normalization of images. Hum Brain Mapping 2:165–189

    Article  Google Scholar 

  • Goldenberg G, Oder W, Spatt J, Podreka I (1992) Cerebral correlates of disturbed executive function and memory in survivors of severe closed head injury: a SPECT study. J Neurol Neurosurg Psychiatry 55:362–368

    Article  CAS  PubMed  Google Scholar 

  • Graham DG, Brierly JB (1984) Vascular disorders of the central nervous system. In: Adams J (ed) Neuropathology. Edward Arnold, London, pp 125–207

    Google Scholar 

  • Ichise M, Chung DG, Wang P, Wortzman G, Gray BG, Franks W (1994) Technetium-99m-HMPAO SPECT, CT and MRI in the evaluation of patients with chronic traumatic brain injury: a correlation with neuropsychological performance. J Nucl Med 35:217–226

    CAS  PubMed  Google Scholar 

  • Jacobs A, Put E, Ingels M, Bossuyt A (1994) Prospective evaluation of technetium-99m-HMPAO SPECT in mild and moderate traumatic brain injury. J Nucl Med 35:942–947

    CAS  PubMed  Google Scholar 

  • Jörg J, Menger H (1998) Das Halswirbelsäulen-und Halsmarktrauma. Neurologische Diagnose und Differentialdiagnostik. Dtsch Ärztebl 95:B1048–1055

    Google Scholar 

  • Johansson G, Risberg J, Rosenhall U, Orndahl G, Svennerholm L, Nystrom S (1995) Cerebral dysfunction in fibromyalgia: evidence from regional cerebral blood flow measurements, otoneurological tests and cerebrospinal fluid analysis. Acta Psychiatr Scand 91:86–94

    Article  CAS  PubMed  Google Scholar 

  • Liotti M, Mayberg HS (2001) The role of functional neuroimaging in the neuropsychology of depression. Clin Exp Neuropsychol 23:121–136

    Article  CAS  Google Scholar 

  • Lorberboym M, Gilad R, Gorin V, Sadeh M, Lampl Y (2002) Late whiplash syndrome: Correlation of brain SPECT with neuropsychological tests and P300 event-related potential. J Trauma 52:521–526

    PubMed  Google Scholar 

  • Moskowitz MA, Buzzi MG (1991) Neuroeffector functions of sensory fibers. Implications for headache mechanisms and drug actions. J Neurol 238(Suppl 1):18–22

    Article  Google Scholar 

  • Olsson I, Bunketorp O, Carlsson G et al (1990) An indepth study of neck injuries in rear end car collisions. International IRCOBI Conference, Bron, Lyon, France, pp 1–15

    Google Scholar 

  • Ommaya AK, Faas F, Yarnell R (1968) Whiplash injury and brain damage: an experimental study. JAMA 204:75–79

    Article  Google Scholar 

  • Otte A, Ettlin Th, Fierz L, Mueller-Brand J (1996) Parieto-occipital hypoperfusion in late whiplash syndrome: first quantitative SPET study using Tc-99m-bicisate (ECD). Eur J Nucl Med 23:72–74

    Article  CAS  PubMed  Google Scholar 

  • Otte A, Ettlin TM, Fierz L, Kischka U, Muerner J, Högerle S, Bräutigam P, Mueller-Brand J (1996) Zerebrale Befunde nach Halswirbelsäulendistorsion durch Beschleunigungsmechanismus (HWS-Schleudertrauma): Standortbestimmung zu neuen diagnostischen Methoden der Nuklearmedizin. [Cerebral findings after distorsion of the cervical spine induced by acceleration injury (whiplash injury): Assessment of current isotopic scanning techniques for diagnosis.] Schweiz Rundschau Med Praxis 85:1087–1090

    CAS  Google Scholar 

  • Otte A, Ettlin TM, Fierz L, Kischka U, Muerner J, Mueller-Brand J (1997) Brain perfusion patterns in 136 patients with chronic symptoms after distorsion of the cervical spine using single-photon emission computed tomography, technetium-99m-HMPAO and technetium-99m-ECD: a controlled study. J Vasc Invest 3:1–5

    Google Scholar 

  • Otte A, Ettlin TM, Mueller-Brand J (1995) Comparison of Tc-99m-ECD with Tc-99m-HMPAO-brain-SPECT in late whiplash syndrome. J Vasc Invest 1:157–163

    Google Scholar 

  • Otte A, Ettlin TM, Nitzsche EU, Wachter K, Hoegerle S, Simon GH, Fierz L, Moser E, Mueller-Brand J (1997) PET and SPECT in whiplash syndrome: a new approach to a forgotten brain? J Neurol Neurosurg Psychiatry 63:368–372

    CAS  PubMed  Google Scholar 

  • Otte A, Ettlin TM, Otto I, Mueller-Brand J (1997) Manipulation-triggered visual disturbances after cervical spine injury. J Vasc Invest 3:197–198

    Google Scholar 

  • Otte A, Goetze M, Mueller-Brand J (1998) Statistical parametric mapping in whiplash brain: is it only a contusion mechanism? Eur J Nucl Med 25:306–307

    CAS  PubMed  Google Scholar 

  • Otte A, Juengling FD, Nitzsche EU (1998) Rethinking mild head injury. J Vasc Invest 4:45–46

    Google Scholar 

  • Otte A, Mueller-Brand J, Ettlin TM, Wachter K, Nitzsche EU (1997) Functional imaging in 200 patients after whiplash injury. J Nucl Med 38:1002

    CAS  PubMed  Google Scholar 

  • Otte A, Mueller-Brand J, Fierz L (1995) Brain SPECT findings in late whiplash syndrome. Lancet 345: 1513–1514

    Article  CAS  PubMed  Google Scholar 

  • Otte A, Mueller-Brand J (1997) Is there a chronic fatigue of the late whiplash syndrome? J Vasc Invest 3:161

    Google Scholar 

  • Otte A, Stratz T, Wachter K, Nitzsche EU, Zajic T, Goetze M, Ettlin TM, Mueller-Brand J (1998) Brain SPET statistical parametric mapping (SPM) in fibromyalgia syndrome: is brainstem perfusion impaired? J Vasc Invest 4:111–116

    Google Scholar 

  • Otte A, Weiner SM, Hoegerle S, Wolf R, Juengling FD, Peter HH, Nitzsche EU (1998) Neuropsychiatric systemic lupus erhthematosus before and after immunosuppressive treatment: a FDG PET study. Lupus 7:57–59

    Article  CAS  PubMed  Google Scholar 

  • Otte A, Weiner SM, Peter HH, Mueller-Brand J, Goetze M, Moser E, Gutfleisch J, Hoegerle S, Juengling FD, Nitzsche EU (1997) Brain glucose utilization in systemic lupus erythematosus with beginning neuropsychiatric symptoms: a controlled PET study. Eur J Nucl Med 24:787–791

    CAS  PubMed  Google Scholar 

  • Otte A (1998) Does whiplash trauma increase the risk of Alzheimer’s disease? J Vasc Invest 4:211–212

    Google Scholar 

  • Otte A (2000) Kognitive Störungen nach traumatischer Distorsion der Halswirbelsäule: Schleudertrauma, quo vadis? Dtsch Ärztebl 97:A463

    Google Scholar 

  • Otte A (1999) PET with 18fluorodexyglucose and hexamethylpropylene amine oxime SPECT in late whiplash syndrome. Neurology 52:1107–1108

    CAS  PubMed  Google Scholar 

  • Otte A (2000) The parieto-occipital region — confusions at the boundary? Eur J Nucl Med 27:238–239

    Article  CAS  PubMed  Google Scholar 

  • Otte A (2001) Das Halswirbelsäulen-Schleudertrauma: Neue Wege der funktionellen Bildgebung des Gehirns — Ein Ratgeber für Ärzte und Betroffene. Springer, Berlin Heidelberg New York Tokio

    Google Scholar 

  • Poeck K (1999) Kognitive Störungen nach traumatischer Distorsion der Halswirbelsäule? Dtsch Ärztebl 96:A2596–2601

    Google Scholar 

  • Radanov BP, Bicik I, Dvorak J, Antinnes J, von Schulthess GK, Buck A (1999) Relation between neuropsychological and neuroimaging findings in patients with late whiplash syndrome. J Neurol Neurosurg Psychiatry 66:485–489

    Article  CAS  PubMed  Google Scholar 

  • Ryan GA, Taylor GW, Moore V, Dolinis J (1993) Neck strain in car occupants. Med J Aust 159:651–656

    CAS  PubMed  Google Scholar 

  • Schmid P (1999) Whiplash-associated disorders. Schweiz Med Wochenschr 25:1368–1380

    Google Scholar 

  • Spitzer WO, Skovron ML, Salmi LR et al (1995) Quebec task force on whiplash-associated disorders: scientific monographs of the quebec task force on whiplash-associated disorders. Redefining “whiplash” and its managament. Spine 20 (Suppl):1–73

    Google Scholar 

  • Talairach J, Tournoux P (1988) Co-planar atlas of the human brain. Thieme, Stuttgart New York

    Google Scholar 

  • Talairach J, Tournoux P (1993) Referentially oriented cerebral MRI anatomy. Atlas of stereotaxic anatomical correlations for gray and white matter. Thieme, Stuttgart New York

    Google Scholar 

  • Tashiro M, Juengling F, Reinhardt M, Moser E, Nitzsche E (2000) Psychological response and survival in breast cancer. Lancet 355:405–406

    Article  CAS  PubMed  Google Scholar 

  • Weiner SM, Otte A, Schumacher M, Klein R, Gutfleisch J, Otto P, Brink I, Nitzsche EU, Moser E, Peter HH (2000) Diagnosis and monitoring of central nervous system involvement in systemic lupus erythematosus: value of F-18 fluo rodeoxyglucose PET. Ann Rheum Dis 59:377–385

    Article  CAS  PubMed  Google Scholar 

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Otte, A. (2009). Langzeitfolgen des HWS-Schleudertraumas. In: Graf, M., Grill, C., Wedig, HD. (eds) Beschleunigungsverletzung der Halswirbelsäule. Steinkopff. https://doi.org/10.1007/978-3-7985-1838-4_23

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  • DOI: https://doi.org/10.1007/978-3-7985-1838-4_23

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