Management of Neuropsychiatric Symptoms for Chronic Traumatic Encephalopathy.

Anna Fusco, Bankole Olowofela, Abeer Dagra, Rami Hatem, Kevin Pierre, Mohammad Reza Hosseini Siyanaki, Brandon Lucke-Wold
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Abstract

Chronic traumatic encephalopathy (CTE) is a neurodegenerative disease associated with repeated head injury. The common presenting neuropsychiatric manifestations and diagnostic strategies for early diagnosis and subsequent treatment will be reviewed. This article discusses methods for injury prevention, risk assessment, and methods for supportive symptom management including lifestyle modifications, physical, occupational, and neurorehabilitation, and pharmaceutical management. Lastly, we propose the use of assessment tools validated for other neurodegenerative disorders in CTE to establish a baseline, track outcomes, and measure improvement in this population.

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慢性创伤性脑病的神经精神症状管理。
慢性创伤性脑病(CTE)是一种与反复头部受伤有关的神经退行性疾病。本文将回顾常见的神经精神表现以及早期诊断和后续治疗的诊断策略。本文将讨论预防损伤的方法、风险评估和支持性症状管理方法,包括生活方式调整、物理、职业和神经康复以及药物管理。最后,我们建议在 CTE 中使用针对其他神经退行性疾病验证过的评估工具,以建立基线、跟踪结果并衡量该人群的改善情况。
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