Post-concussive syndrome: Difference between revisions
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==Background== | ==Background== | ||
*Definition: Concussion symptoms that continue beyond the expected 7-10d recovery period <ref>Haydel, M. Management of Mild Traumatic Brain Injury in the Emergency Department. EB Medicine. Sept 2012; Vol 14</ref> | |||
**Patients with more severe symptoms on initial presentation may be more at risk | |||
**History of migraine, depression, anxiety also a possible risk factor | |||
==Clinical Features== | ==Clinical Features== | ||
*[[Headache]] | |||
*[[Dizziness]] | |||
*Decreased concentration | |||
*Memory problems | |||
*Sleep disturbance | |||
*Irritability | |||
*Fatigue | |||
*[[Visual disturbances]] | |||
*Judgment problems | |||
*[[Depression]] | |||
*[[Anxiety]] | |||
*Anosmia and decreased taste | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Head trauma DDX}} | |||
==Evaluation== | ==Evaluation== | ||
*Neuropsychological testing | |||
*Symptom checklist | |||
==Management== | ==Management== | ||
*Symptomatic management is mainstay of therapy | |||
*Avoid re-injury | |||
==Disposition== | ==Disposition== | ||
*Discharge | |||
**Refer to TBI clinic or neuropsychologist, if availabe | |||
==See Also== | ==See Also== | ||
*[[Head trauma (main)]] | *[[Head trauma (main)]] | ||
*[[Mild traumatic brain injury]] (Concussion) | |||
==External Links== | ==External Links== | ||
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==References== | ==References== | ||
<references/> | <references/> | ||
[[Category:Neurology]] | |||
[[Category:Trauma]] | |||
Latest revision as of 21:36, 10 October 2018
Background
- Definition: Concussion symptoms that continue beyond the expected 7-10d recovery period [1]
- Patients with more severe symptoms on initial presentation may be more at risk
- History of migraine, depression, anxiety also a possible risk factor
Clinical Features
- Headache
- Dizziness
- Decreased concentration
- Memory problems
- Sleep disturbance
- Irritability
- Fatigue
- Visual disturbances
- Judgment problems
- Depression
- Anxiety
- Anosmia and decreased taste
Differential Diagnosis
Head trauma
- Traumatic brain injury
- Intracranial hemorrhage
- Intra-axial
- Extra-axial
- Moderate-to-severe traumatic brain injury
- Mild traumatic brain injury
- Intracranial hemorrhage
- Orbital trauma
- Maxillofacial trauma
- Scalp laceration
- Skull fracture
- Pediatric head trauma
Evaluation
- Neuropsychological testing
- Symptom checklist
Management
- Symptomatic management is mainstay of therapy
- Avoid re-injury
Disposition
- Discharge
- Refer to TBI clinic or neuropsychologist, if availabe
See Also
- Head trauma (main)
- Mild traumatic brain injury (Concussion)
External Links
References
- ↑ Haydel, M. Management of Mild Traumatic Brain Injury in the Emergency Department. EB Medicine. Sept 2012; Vol 14