Abstract: Due to the subjectivity of symptoms and the lack of evidence provided by the current objective examination methods, as well as the problems of camouflage and exaggeration resulted from the compensation psychology, the opinions to the disability assessment of the patients with post-concussion syndrome are not consistent highly. In the dispute of compensation for human injury, the disability assessment of patients with post-concussion syndrome has become a controversial point and difficult items in forensic psychiatry assessment. This article reviews the changes of concussion and its related terms, the incidence, symptoms and diagnostic criteria of post-concussion syndrome, the status quo and future development direction of objective evaluation technology and disability evaluation, in order to improve the understanding of concussion and post-concussion syndrome and the consistency of the evaluation opinion to the psychiatric disability of the patient with post-concussion syndrome.

Key words: forensic psychiatry; post-concussion syndrome; mild traumatic brain injury; psychiatric impairment；assessment

摘要： 由于症状表现的主观性以及当前客观检查方法所能提供证据的匮乏，加之赔偿伴生的症状伪装和夸大等问题，脑震荡后综合征患者的伤残评定鉴定意见一致性不高。在人体损伤赔偿纠纷中，脑震荡后综合征患者的伤残评定成为法医精神病鉴定的争议点和难题。通过对脑震荡及相关术语变化、脑震荡后综合征的发生率、症状表现及诊断标准、脑震荡后综合征客观评价技术以及伤残评定的现状及未来发展方向进行综述，以期提高对脑震荡、脑震荡后综合征的认识，提高鉴定意见的一致性。

关键词: 法医精神病学；脑震荡后综合征；轻型创伤性脑损伤；精神伤残；评定