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Titolo:
Description and analysis of olfactory disorders after head trauma
Autore:
Biacabe, B; Nores, JM; Bonfils, P;
Indirizzi:
Hop Raymond Poincare, Serv Med Interne, F-92380 Garches, France Hop Raymond Poincare Garches France F-92380 rne, F-92380 Garches, France Hop Boucicaut, Serv ORL & Chirurg Cerv Faciale, Hop Europeen G Pompidou, Paris, France Hop Boucicaut Paris France iale, Hop Europeen G Pompidou, Paris, France
Titolo Testata:
REVUE NEUROLOGIQUE
fascicolo: 5, volume: 156, anno: 2000,
pagine: 451 - 457
SICI:
0035-3787(200005)156:5<451:DAAOOD>2.0.ZU;2-D
Fonte:
ISI
Lingua:
FRE
Soggetto:
ANOSMIA; INJURY; DYSFUNCTION; EPITHELIA; MUCOSA;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
38
Recensione:
Indirizzi per estratti:
Indirizzo: Nores, JM Hop Raymond Poincare, Serv Med Interne, Ave Raymond Poincare, F-92380 Garches, France Hop Raymond Poincare Ave Raymond Poincare Garches France F-92380
Citazione:
B. Biacabe et al., "Description and analysis of olfactory disorders after head trauma", REV NEUROL, 156(5), 2000, pp. 451-457

Abstract

Olfactory disorders subsequent to head trauma can raise medicolegal problems when the olfactory deficit occurs after a work accident or a traffic accident and also raises the problem of psychological and functional tolerancewhen the patient consults late for a therapeutic solution. We studied the epidemiology of olfactory disorders after head trauma. Such disorders have been recognized since the XIXe century Several studies have attempted to determine the prevalence of olfactory sequelae after head trauma. We then describe the pathophysiology of these lesions and emphasize that the degree ofseverity is related with the gravity of the head trauma and that the prevelence of these disorders varies considerably depending on the site of the trauma. Mechanisms which can lead to lesions of the olfactory system include, damage to the olfacory nerve bundles, naso-sinus lesions, or lesions of the cerebral olfactory centers. Brain MRI in anosmic patients after head trauma allows a visualization of intracranial lesions. The degree of reversibility of olfactory disorders after head trauma is imperfectly evaluated and discordant results have been reported. Some authorsconsider loss of olfaction is definitive. Others suggest an improvement inolfaction the year following head trauma. We reviewed the literature on these different elements. Expert opinions concerning patients complaining of olfactory disorders should relate this disorder to the initial trauma and determine the personal and occupational impact of the deficit Attribution ofcause must take into account all the clinical, radiological and psyche-olfactory Factors.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 01/12/20 alle ore 10:41:58