DOI: 10.7251/VJE1502168O

UDC: 616.831/.833-001:340.6

ORIGINALNI NAUČNI RAD


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Mediko-legalni aspekti potresa mozga i kratkotrajnog gubitka svijesti

Ibrahim Omerhodžić

specijalista neurohirurg, Klinika za neurohirurgiju Kliničkog centra Univerziteta u Sarajevu, Sarajevo, Bosna i Hercegovina, genijana@gmail.com


Sažetak: Potres mozga je traumatska povreda mozga koja mijenja način njegovog funkcioniranja. S medicinskog aspekta, simptomi i znaci su često kratkotrajni i prolazni a mogu uključivati glavobolje, probleme sa koncentracijom, memorijom, ravnotežom i koordinacijom. Iako je potres mozga obično uzrokovan udarcem u glavu, on se može desiti i kada se nasilno uzdrma glava ili gornji dio tijela. Ovakva povreda može izazvati i gubitak svijesti, ali se često potres mozga desi i bez gubit- ka svijesti. U zadnjem slučaju kvalifikacija potresa mozga često bude previđena, kako od strane medicinskog osoblja tako i od strane cenzora i vještaka, pa u konačnom i u sudskim presudama izostane. Stoga je važno jasno i na vrijeme definirati potres mozga, još u inicijalnom pregledu pacijenta i naknadno ga kao takvog dalje uvažavati kao graničnu povredu, u medikolegalnim radnjama, bilo da se ocjenjuje umanjenje opšte životne aktivnosti, postotak trajnog invaliditeta ili spo- sobnost povrijeđenog da adekvatno svjedoči.

Ključne riječi: potres mozga, traumatska povreda mozga, gubitak svijesti, sudsko-medicinsko vještačenje, vještak


The Medico-Legal Aspects of Concussion and Short-Term Loss of Consciousness

Ibrahim Omerhodžić

consultant neurosurgeon, Department of neurosurgery, Clinical Center University of Sarajevo, Sarajevo, Bosnia and Herzegovina, genija- na@gmail.com


Abstract: A concussion is a traumatic brain injury that changes way that brain functions. From a medical point of view, signs and symptoms of injury are often short-lived and transient. Symptoms may include headaches, problems with con- centration, memory, balance and coordination. Concussions are usually caused by a violent traumatic blow to the head, but they can also be caused by a violent head or upper body shaking. These injuries usually cause loss of consciousness, but often concussions can be present even without losing consciousness. Finally, proper assessment of severity of concu- ssion is often overlooked by both medical staff, medical assessors and court experts, and can also be excluded as evidence from the final court rulings. Therefore, it is important to have a definite and timely diagnoses of concussions during the initial patient examination, and subsequently consider it in all medico-legal actions, whether assesing lowered quality of life percentage of permanent disability or the ability of the injured to testify as a witness in court cases.

Key words: Concussion, TBI, loss of consciousness, medico-legal actions, court experts