{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T03:56:49Z","timestamp":1747195009446,"version":"3.40.5"},"reference-count":0,"publisher":"Komitet Redakcyjno - Wydawniczy Polskiego Towarzystwa Psychiatrycznego","issue":"1","license":[{"start":{"date-parts":[[2021,2,28]],"date-time":"2021-02-28T00:00:00Z","timestamp":1614470400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,2,28]],"date-time":"2021-02-28T00:00:00Z","timestamp":1614470400000},"content-version":"am","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,2,28]],"date-time":"2021-02-28T00:00:00Z","timestamp":1614470400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychiatr Pol"],"published-print":{"date-parts":[[2021,2,28]]},"abstract":"<jats:p>Rozlany uraz aksonalny  (ang. diffuse axonal injury- DAI) jest mikroskopowym uszkodzeniem akson\u00f3w biegn\u0105cych w m\u00f3zgu. Do jego wyst\u0105pienia predysponuj\u0105 urazy g\u0142owy z przy\u015bpieszeniem lub zahamowaniem. W niniejszym artykule zaprezentowano aktualny stan wiedzy na temat DAI oraz przypadki dw\u00f3ch pacjent\u00f3w, u kt\u00f3rych DAI wyst\u0105pi\u0142o w wyniku wypadku komunikacyjnego. U 26- letniego m\u0119\u017cczyzny po dachowaniu pojazdu stwierdzono w TK cechy obrzmienia m\u00f3zgowia oraz rozsiane drobne wybroczyny hyperdensyjnej krwi. Konsultacja psychiatryczna w 9 dobie wykaza\u0142a mi\u0119dzy innymi zaburzenia pami\u0119ci w postaci niepami\u0119ci wstecznej i nast\u0119pczej, zaburzenia koncentracji oraz brak krytycyzmu wobec swojego stanu. U 38- letniej kobiety potr\u0105conej przez samoch\u00f3d opisano w TK g\u0142owy cechy obrzmienia m\u00f3zgowia, niewielkiego krwawienia podpaj\u0119czyn\u00f3wkowego oraz liczne z\u0142amania. Pacjentka w 10 dobie zdezorientowana, nie zapami\u0119tywa\u0142a udzielanych informacji, we wzmo\u017conym nap\u0119dzie i brakiem krytycyzmu wobec stanu zdrowia. Podejrzewaj\u0105c DAI powinni\u015bmy zachowa\u0107 szczeg\u00f3ln\u0105 czujno\u015b\u0107 w przypadku pacjent\u00f3w hospitalizowanych z powodu wypadk\u00f3w komunikacyjnych z zaburzeniami zachowania, cechami zespo\u0142u amnestycznego oraz bez istotnych ogniskowych objaw\u00f3w neurologicznych.<\/jats:p>","DOI":"10.12740\/pp\/onlinefirst\/112404","type":"journal-article","created":{"date-parts":[[2019,11,24]],"date-time":"2019-11-24T08:55:26Z","timestamp":1574585726000},"page":"171-180","source":"Crossref","is-referenced-by-count":1,"title":["Diffuse axonal injury \u2013 an interdisciplinary problem. Current knowledge and two case reports"],"prefix":"10.12740","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3776-2653","authenticated-orcid":false,"given":"Mateusz","family":"\u0141uc","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcin","family":"Paw\u0142owski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joanna","family":"Rymaszewska","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monika","family":"Kantorska-Janiec","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5036","published-online":{"date-parts":[[2021,2,28]]},"container-title":["Psychiatria Polska"],"original-title":["Rozlany uraz aksonalny \u2013 problem interdyscyplinarny. Stan wiedzy i opis dw\u00f3ch przypadk\u00f3w klinicznych"],"link":[{"URL":"https:\/\/www.psychiatriapolska.pl\/pdf-112404-81710","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.psychiatriapolska.pl\/pdf-112404-81710","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,10,18]],"date-time":"2022-10-18T06:49:52Z","timestamp":1666075792000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.psychiatriapolska.pl\/Diffuse-axonal-injury-an-interdisciplinary-problem-Current-knowledge-and-two-case,112404,0,2.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2,28]]},"references-count":0,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021]]}},"alternative-id":["112404"],"URL":"https:\/\/doi.org\/10.12740\/pp\/onlinefirst\/112404","relation":{},"ISSN":["0033-2674","2391-5854"],"issn-type":[{"type":"print","value":"0033-2674"},{"type":"electronic","value":"2391-5854"}],"subject":[],"published":{"date-parts":[[2021,2,28]]}}}