Purpose: to study the clinical, neurological, and psychological status of patients at acute period of mild cranial brain trauma caused by shock wave. Material: patients participated in fighting actions in the East of Ukraine, which were treated in neurological department of Military medical clinical centre of Northern region in 2015. Results: authors have revealed some symptoms of sensory disorders in the form of nonspecific sensomotor hemisyndrome and general analgesia. Conclusions: Mild closed cranial brain trauma, caused by shock wave, in its acute period has more severe course than in civilian traumas. The identified symptoms are the result of complex influence of shock wave on the central nervous system and nonspecific structures of brain that subsequently can lead to the vegetative nervous system’s disorders and impairment of higher cortical (mental) functions, and also to adjustment disorders and social maladjustment.

No abstract

The aim: To analyze the effect of Korean red ginseng on status of the vegetative nervous system and well-being of patients with asthenic syndrome assotiated with mild combat traumatic brain injury. Materials and methods: We have examined 42 patients. Duration of their injury was from 4 to 6 years. We have investigated the indices of the vegetative tonus, vegetative reactivity and vegetative provisioning, its neurally mediated component – adrenaline and noradrenaline and melatonin hormone in daily urine. Some neuropsychological data were investigated with the help of HAM method (Health, Activity and Mood scale). Results: After the treatment with Korean red ginseng all indices of the vegetative nervous system improved significantly. Accordingly, the rates of adrenaline and noradrenaline and the hormone melatonin, which were reduced before treatment in most of the examined, increased. The HAM values also improved after the treatment. Conclusions: The use of Korean red ginseng restores efficiency, sleep, activity, and improves the mood of patients with aftereffects of mild traumatic brain injury and does not cause any adverse reaction.

Вивчено порушення структури нічного сну у хворих у гострому періоді закритої черепно-мозкової травми, обумовленої вибуховою хвилею. Виявлено, що порушення сну відмічається в 100 % хворих у гострому періоді черепно-мозкової травми, обумовленої вибуховою хвилею. Порушення сну в даних пацієнтів характеризується скороченістю циклів та стадій глибокого нічного сну, що може бути одним із критеріїв подальшого прогнозу клінічної картини перебігу захворювання.